Mirabile, Jeremy Shawn

Mirabile, Jeremy Shawn is an individual health care provider with primary practice located at 1030 A1A N , Ponte Vedra Beach FL 32082-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Mirabile, Jeremy Shawn can be contacted via phone (904) 551-1394.

Contact Information

Primary practice address
1030 A1A N Ponte Vedra Beach FL 32082-4019
Phone: (904) 551-1394
Fax: (888) 770-4284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME88707 Florida

Profile Details

NPI number 1295749968
LBN Legal business name Mirabile, Jeremy Shawn
Credentials M.D. ABPM-ADM, FASAM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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