MEDICARE: MS. CAROLYN H MIRAGLIOTTA ARNP-C

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
1	363LF0000X	Family Nurse Practitioner	ARNP549172	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548315989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN H MIRAGLIOTTA ARNP-C

Provider Business Mailing Address
First Line	:	3221 WYTHE CIR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-4803
Country	:	US
Telephone Number	:	850-433-9086
Fax Number	:	850-626-3431

Provider Business Practice Location Address
First Line	:	5825 HIGHWAY 90
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32583-1763
Country	:	US
Telephone Number	:	850-626-3430
Fax Number	:	850-626-3431

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	11/21/2013

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