Provider Type Icon

PANSEONAT MIRACLE LLC NPI 1851322341


NPI Information

NPI: 1851322341
Provider Name: PANSEONAT MIRACLE LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
5400 BISCAYNE DR
SUITE A
NORTH PORT, FL
ZIP 34287
Phone: (877) 387-1777
Get Directions

PANSEONAT MIRACLE LLC is a geriatric medicine family medicine in North Port, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PANSEONAT MIRACLE LLC NPI is 1851322341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5400 BISCAYNE DR
SUITE A
NORTH PORT, FL
ZIP 34287-000
Phone: (877) 387-1777

The provider's authorized official is Dorit Yabrov .
The authorized official title is Medical Director and has the following contact phone number (941) 484-9730.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/22/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineME 93717FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.