# MIRACLE MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558241455
- **Authorized official:** JAMES BRIM (OWNER)
- **Authorized official phone:** (754) 330-0789

## Contact information

- **Practice address:** 4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL 33309-4769
- **Practice address phone:** (754) 330-0789
- **Practice address fax:** (954) 900-5486
- **Mailing address:** 4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL 33309-4769
- **Mailing address phone:** (754) 330-0789
- **Mailing address fax:** (954) 900-5486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/04/2025