Individual
MIKHAIL MIRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-1900
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
ME116537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010206190NY01
ANTHEM HEALTH
NY
05
—
01980092
—
NY
01
—
040426010759
FIDELIS
NY
01
—
05-00433
UHC CHILD HEALTH PLUS
NY
01
—
1911994
UNITEDHEALTHCARE
NY
01
—
2C2066
HEALTHNET
NY
01
—
3099861
GHI
NY
01
—
552992
BLUE CROSS BLUE SHIELD
NY
01
—
59065
MAGNACARE
NY
01
—
7533054
AETNA/US HEALTHCARE
NY
01
—
95941
VYTRA HEALTH PLANS
NY
01
—
AA50867
MDNY
NY
01
—
P1537630
OXFORD HEALTH PLANS
NY
Enumeration date
06/22/2005
Last updated
10/03/2024
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