Individual
MRS. ALINA D MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-3434
(863) 983-6655
Mailing address
500 W SAGAMORE AVE, CLEWISTON, FL 33440-3514
(863) 983-3434
(863) 983-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2158932
FL
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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