Organization
MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA MARIA CARLISLE (PCC)
(850) 474-5459
Entity
Organization
Contact information
Practice address
1871 WELLS RD, UNIT 1, ORANGE PARK, FL 32073-2371
(904) 269-5700
(904) 269-9004
Mailing address
7171 N DAVIS HWY, PENSACOLA, FL 32504-6254
(850) 474-5459
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
FL
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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