Organization
MIRACLE RESORT HEALTH INTERNATIONAL SPA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRIGGS D.O. (OWNER)
(941) 423-0800
Entity
Organization
Contact information
Practice address
5400 S BISCAYNE DR, SUITE A, NORTH PORT, FL 34287-1932
(941) 423-0800
(941) 423-0232
Mailing address
5400 S BISCAYNE DR, SUITE A, NORTH PORT, FL 34287-1932
(941) 423-0800
(941) 423-0232
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
10/24/2011
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