Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY SHAWN MIRABILE, M.D. ABPM-ADM, FASAM
ActiveDR. JEREMY SHAWN MIRABILE, M.D. ABPM-ADM, FASAM is a Addiction Medicine (Family Practice) healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1295749968 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · PONTE VEDRA BEACH, FL
Registration Details
- NPI Number
- 1295749968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.08029804588 yrs)
- Last Updated
- Aug 30, 2024
- License
-
ME88707 (FL)
Practice Information
- Address
-
1030 A1A NPONTE VEDRA BEACH, FL, 320824019Browse FL providers · Browse ZIP 32082
- Phone
- 9045511394
- Fax
- 8887704284
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.