Individual
MR. JEFFREY J MIRRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3301 58TH AVE N LOT 459, SAINT PETERSBURG, FL 33714-1352
(727) 234-5958
Mailing address
3301 58TH AVE N LOT 459, SAINT PETERSBURG, FL 33714-1352
(727) 234-5958
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9356525
FL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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