Organization
MIRACLE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRIM (OWNER)
(754) 330-0789
Entity
Organization
Contact information
Practice address
4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL 33309-4769
(754) 330-0789
(954) 900-5486
Mailing address
4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL 33309-4769
(754) 330-0789
(954) 900-5486
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/04/2025
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