Individual
DR. JEREMY SHAWN MIRABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. ABPM-ADM, FASAM
Contact information
Practice address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 551-1394
(888) 770-4284
Mailing address
1030 A1A N, PONTE VEDRA BEACH, FL 32082-4019
(904) 551-1394
(888) 770-4284
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME88707
FL
Other
Enumeration date
07/28/2006
Last updated
08/30/2024
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