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Organization

MIRACLES MEDICAL SUPPLIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATASHA LOOPER (EMPLOYEE OF THE ORGANIZATION)
(904) 574-7180
Entity
Organization

Contact information

Practice address
4674 TOWN CENTER PKWY APT 260, JACKSONVILLE, FL 32246-8904
(904) 574-7180
(904) 574-7180
Mailing address
4674 TOWN CENTER PKWY APT 260, JACKSONVILLE, FL 32246-8904
(904) 574-7180

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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