Individual
JOSE MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
(772) 287-5200
Mailing address
1410 SW BARGELLO AVE, PORT ST LUCIE, FL 34953-4741
(786) 252-9136
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9385609
FL
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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