Individual
MR. JOE RHODES MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRTT
Contact information
Practice address
3721 SANJOSE PLACE, SUITE NUMBER 5, JACKSONVILLE, FL 32257
(904) 880-6551
(904) 880-6552
Mailing address
3687 MARSH PARK CT, JACKSONVILLE, FL 32250-2066
(904) 807-9120
(904) 807-9087
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT 8185
FL
Other
Enumeration date
10/17/2006
Last updated
07/09/2007
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