Mia Group

NPI #1124403472 in Ponte Vedra, Florida

Provider Information

NPI Number: 1124403472
Entity Type: Organization
Organization Name: Mia Group
Subpart: Yes (part of a larger organization)
Parent Organization: GIA GROUP
Primary Specialty: Specialist
Enumeration Date: Jul 29, 2015
Last Updated: Jul 29, 2015

Practice Location

Address: 822 A1A N
City: Ponte Vedra
State: Florida
ZIP Code: 32082-3260
Phone: (425) 606-5304

Authorized Official

Name: TAYLOR JONES, PHD
Title: DIRECTOR
Phone: (425) 606-5304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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