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Organization

MIRACLES IN MOTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUWANNA ZIER (OWNER)
(813) 965-6406
Entity
Organization

Contact information

Practice address
2118 E BUSCH BOULEVARD, TAMPA, FL 33612
(813) 965-6406
Mailing address
2118 E BUSCH BLOUVARD, TAMPA, FL 33612
(813) 965-6406

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
002672100
FL
253Z00000X
In Home Supportive Care Agency
Primary
692792196
FL
253Z00000X
In Home Supportive Care Agency
692792198
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881873354
FL
Enumeration date
06/10/2011
Last updated
06/10/2011
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