Healthcare Provider Details

I. General information

NPI: 1134048192
Provider Name (Legal Business Name): OCEAN BREEZE INFUSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20754 SW 84TH AVE
CUTLER BAY FL
33189-3402
US

IV. Provider business mailing address

20754 SW 84TH AVE
CUTLER BAY FL
33189-3402
US

V. Phone/Fax

Practice location:
  • Phone: 786-374-5187
  • Fax:
Mailing address:
  • Phone: 786-374-5187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANA M MIRABAL
Title or Position: NURSE PRACTITIONER
Credential: ARNP
Phone: 786-374-5187