Miracle Wellness Center Inc.

NPI #1366752479 in Miami, Florida

Provider Information

NPI Number: 1366752479
Entity Type: Organization
Organization Name: Miracle Wellness Center Inc.
Primary Specialty: Physician Assistant
Enumeration Date: Oct 8, 2010
Last Updated: Oct 8, 2010

Practice Location

Address: 9370 SW 72ND ST
Address 2: SUITE A280
City: Miami
State: Florida
ZIP Code: 33173-5431
Phone: (305) 456-0798

Authorized Official

Name: MRS. ZALMA M MARINO
Title: PRESIDENT
Phone: (305) 456-0798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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