# MIRACLE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracle Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225644701
- **Authorized official:** TIFFANY ALTAMARIA MAPP DO (PHYSICINE)
- **Authorized official phone:** (240) 603-0502

## Contact information

- **Practice address:** 6005 LANDOVER RD STE 3, CHEVERLY, MD 20785-1145
- **Practice address phone:** (240) 603-0502
- **Practice address fax:** (443) 790-9236
- **Mailing address:** 6005 LANDOVER RD STE 5, CHEVERLY, MD 20785-1145
- **Mailing address phone:** (240) 687-8690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/19/2020
- **Last updated:** 04/29/2026