Organization
PANSEONAT MIRACLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIT YABROV M.D. (MEDICAL DIRECTOR)
(941) 484-9730
Entity
Organization
Contact information
Practice address
5400 BISCAYNE DR, SUITE A, NORTH PORT, FL 34287-0000
(877) 387-1777
Mailing address
5400 BISCAYNE DR, SUITE A, NORTH PORT, FL 34287-0000
(877) 387-1777
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME 93717
FL
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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