Miracleclinic
Clinic/Center, Primary Care in Royal Palm Beach, FL. Organization (NPI-2).
NPI number1841908019
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1841908019
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracleclinic
- Organization subpart
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
2006 Reston CirRoyal Palm Beach, FL 33411-6110
Phone 156-192-9658
Mailing address
2006 Reston CirRoyal Palm Beach, FL 33411-6110
Phone 156-192-9658
Authorized official
Marie Etienne
Fnp
5619296581
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