MR. JEFFREY J MIRRA


Address: 3301 58th Ave N Lot 459, Saint Petersburg, FL 33714-1352
Phone: 7272345958

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
RN9356525 FL Nursing Service Providers

Office Location

Street Address 3301 58TH AVE N LOT 459
City SAINT PETERSBURG
State FL
Zip Code 33714-1352

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1184843468 Loni Jean Mitchell Registered Nurse 4635 Emerson Ave S, Saint Petersburg, FL 33711-1437 2007-04-24

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Competitor

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City SAINT PETERSBURG
Zip Code 33714

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Dataset Information

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.

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