MR. JEFFREY J MIRRA (NPI# 1205177151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205177151 |
Entity Type | Individual |
Full Name | MR. JEFFREY J MIRRA |
Credential | R.N. |
Practice Address |
3301 58th Ave N Lot 459 Saint Petersburg FL 33714-1352 |
Practice Telephone | 7272345958 |
Mailing Telephone | 7272345958 |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN9356525 | FL | Nursing Service Providers |
Street Address |
3301 58TH AVE N LOT 459 |
City | SAINT PETERSBURG |
State | FL |
Zip Code | 33714-1352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780134601 | Andrew Lee Coet | Behavioral Analyst | 5185 45th St. N, Bldg C, St Petersburg, FL 33714 | 2016-10-04 |
1316323827 | Krystian Sarkady | Marriage & Family Therapist | 3959 52nd Ave N, Saint Petersburg, FL 33714 | 2015-08-06 |
1932101987 | Scg Laurellwood LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714 | 2005-08-10 |
1225237100 | Springfield Development Company | Durable Medical Equipment & Medical Supplies | 5528 Haines Rd N, St Petersburg, FL 33714-0000 | 2007-07-12 |
1114323961 | Danang Pharmacy LLC | Pharmacy | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2014-11-06 |
1326664913 | Lananh Doan | Pharmacist | 5944 34th St N Ste 1, Saint Petersburg, FL 33714-1211 | 2020-06-19 |
1073910410 | Britten Moyers | Counselor | 3455 58th Ave N, St Petersburg, FL 33714-1226 | 2014-12-01 |
1407355084 | Laurellwood Facility Inc | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2018-02-08 |
1871580894 | Scg Laurellwood, LLC | Skilled Nursing Facility | 3127 57th Ave N, St Petersburg, FL 33714-1320 | 2005-10-04 |
1598135436 | Anne E. Roberts | Nurse Practitioner | 601 5th Street S., Suite #605, St. Petersburg, FL 33714-1326 | 2015-10-05 |
Find all providers in zip 33714 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871005025 | Seminole Nursing Services, Inc. | Registered Nurse | 2900 8th Ave N, Saint Petersburg, FL 33713-6720 | 2017-10-27 |
1184843468 | Loni Jean Mitchell | Registered Nurse | 4635 Emerson Ave S, Saint Petersburg, FL 33711-1437 | 2007-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
1508465725 | Mahanaim Home Care | Registered Nurse | 2750 N 29th Ave Ste 218b, Hollywood, FL 33020-1521 | 2020-10-19 |
1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
Find all providers with the same taxonomy |
City | SAINT PETERSBURG |
Zip Code | 33714 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.