| Panseonat Miracle Llc | |
|
5400 Biscayne Dr Suite A North Port FL 34287-0000 | |
| (877) 387-1777 | |
| Not Available |
| Full Name | Panseonat Miracle Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 5400 Biscayne Dr, North Port, Florida |
| Authorized Official Name and Position | Dorit Yabrov (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9414849730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panseonat Miracle Llc 5400 Biscayne Dr Suite A North Port FL 34287-0000 Ph: (877) 387-1777 | Panseonat Miracle Llc 5400 Biscayne Dr Suite A North Port FL 34287-0000 Ph: (877) 387-1777 |
| NPI Number | 1851322341 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851322341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME 93717 (Florida) | Primary |
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