Individual
DR. VINCENT P MIRAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2398 E OCEAN BLVD, STE A, STUART, FL 34996-3310
(772) 223-2864
(772) 223-2861
Mailing address
2398 E OCEAN BLVD, STE A, STUART, FL 34996-3310
(772) 223-2864
(772) 223-2861
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME16260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166809004
CIGNA
FL
01
—
1394149
FIRST HEALTH
FL
05
—
276653100
—
FL
01
—
4062425
AETNA
FL
01
—
406341246
RAILROAD MEDICARE
FL
01
—
43053
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
06/20/2005
Last updated
06/21/2010
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