| Mirra Medical Group Llc | |
|
15261 Cortez Blvd Brooksville FL 34613-6072 | |
| (352) 584-7452 | |
| (727) 399-9037 |
| Full Name | Mirra Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15261 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Mirza Biag (VP - BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 3525847452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirra Medical Group Llc 15261 Cortez Blvd Brooksville FL 34613-6072 Ph: (352) 584-7452 | Mirra Medical Group Llc 15261 Cortez Blvd Brooksville FL 34613-6072 Ph: (352) 584-7452 |
| NPI Number | 1245658871 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245658871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0018523 (Florida) | Primary |
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