MIRACLE EAR NPI 1356670970

NPI Information

MIRACLE EAR is a hearing and speech clinic center in Orange Park, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. MIRACLE EAR NPI is 1356670970. The provider is registered as an organization entity type.

The provider's business location address is:

1871 WELLS RD
UNIT 1
ORANGE PARK, FL
ZIP 32073-371
Phone: (904) 269-5700
Fax: (904) 269-9004

The provider's authorized official is Melissa Maria Carlisle .
The authorized official title is Pcc and has the following contact phone number (850) 474-5459.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 12/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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