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NPI Code Detail

MEDICARE: MIRACLES CAN HAPPEN

MEDICARE: MIRACLES CAN HAPPEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyFL
2251C00000XDevelopmentally Disabled Services Day Training AgencyFL

General Provider Information

NPI Number : 1326425695
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRACLES CAN HAPPEN
Provider Business Mailing Address
First Line : 1451 NW 62ND ST STE 300
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-1953
Country : US
Telephone Number : 954-446-7416
Fax Number :
Provider Business Practice Location Address
First Line : 1451 NW 62ND ST STE 300
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-1953
Country : US
Telephone Number : 954-446-7416
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : DRINA ARTESIA WILSON
Credential : M.S.
Telephone Number : 965-446-7416
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/06/2015

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Directions to “MIRACLES CAN HAPPEN ” Practice Location

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