Individual
DR. PHILIP C. MIRMELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 ARTHUR GODFREY RD, SUITE 504, MIAMI BEACH, FL 33140-3516
(305) 538-8339
(305) 538-4907
Mailing address
11880 SW 40TH ST, SUITE 304, MIAMI, FL 33175-3584
(305) 223-8808
(305) 223-8974
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME25815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375593200
—
FL
01
—
78527N
MEDICARE
FL
01
—
78527Y
MEDICARE
FL
Enumeration date
04/11/2006
Last updated
09/21/2015
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