DR. VINCENT P MIRAGLIA (NPI# 1639174238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639174238 |
Entity Type | Individual |
Full Name | DR. VINCENT P MIRAGLIA |
Credential | MD |
Practice Address |
2398 E Ocean Blvd Ste A Stuart FL 34996-3310 |
Practice Telephone | 7722232864 |
Practice Fax Number | 7722232861 |
Mailing Telephone | 7722232864 |
Mailing Fax Number | 7722232861 |
Enumeration Date | 2005-06-20 |
Last Update Date | 2010-06-21 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-03-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | ME16260 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AETNA | 4062425 | 01 |
FL | BLUE CROSS/BLUE SHIELD | 43053 | 01 |
FL | FIRST HEALTH | 1394149 | 01 |
FL | CIGNA | 1166809004 | 01 |
FL | 276653100 | 05 | |
FL | RAILROAD MEDICARE | 406341246 | 01 |
Street Address |
2398 E OCEAN BLVD STE A |
City | STUART |
State | FL |
Zip Code | 34996-3310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558311167 | Elaine M Holloway | Nurse Practitioner | 2398 E Ocean Blvd, Ste A, Stuart, FL 34996-3310 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164061578 | See and Sun Optical | Technician/Technologist | 3736 Se Ocean Blvd, Stuart, FL 34996 | 2020-01-02 |
1528558822 | Shweta Frechette | Nurse Practitioner | 2221 Se Ocean Blvd Ste 100, Stuart, FL 34996 | 2018-05-14 |
1790273944 | Harbour Bay Pharmacy LLC | Pharmacy | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996 | 2018-04-24 |
1053828921 | Barbara Ann Ohara | Counselor | 2929 S.e. Ocean Blvd., Stuart, FL 34996 | 2018-01-02 |
1417370651 | National Laboratories, LLC | Clinical Medical Laboratory | 1411 Se Ocean Avenue, Stuart, FL 34996 | 2014-01-23 |
1972871747 | Cara Montgomery | Counselor | 850 Se Stafford Dr, Stuart, FL 34996 | 2011-12-08 |
1053557603 | Glenn Allen Feigen | Licensed Practical Nurse | 3727 Se Ocean Blvd # 200b, General Healthcare Resources, Inc., Stuart, FL 34996 | 2009-01-05 |
1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
1336343102 | Avron H Lipschitz | Plastic Surgery | 903 Se Monterey Commons Blvd, Stuart, FL 34996 | 2007-06-13 |
1912129214 | Eyewear of Stuart, Inc. | Durable Medical Equipment & Medical Supplies | 2090 S.e. Ocean Blvd, Stuart, FL 34996 | 2007-05-03 |
Find all providers in zip 34996 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346288479 | David Nehme Pa | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2006-06-02 |
1376525501 | Michael Emory Lustgarten | Urology | 834 E Ocean Blvd, Stuart, FL 34994-2428 | 2005-11-15 |
1841271038 | David Matthew Rodin | Urology | 905 Se Monterey Commons Blvd, Stuart, FL 34996-3339 | 2005-11-07 |
1679918635 | Lorenzo Digiorgio | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-05 |
1588938484 | Michael E. Lustgarten M.d. P.a. | Urology | 834 E Ocean Blvd, Stuart, FL 34994-2428 | 2012-02-24 |
1144540386 | Paul Bower | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2010-06-10 |
1073831574 | Coastal Urology of Stuart, Pa | Urology | 900 Se Ocean Blvd, Suite 240, Stuart, FL 34994-2471 | 2010-05-07 |
1780720144 | John David Nehme | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2007-01-30 |
1568490134 | Antonio Beltran M.d. Pa | Urology | 2220 Se Ocean Blvd, Suite 203, Stuart, FL 34996-3301 | 2006-06-30 |
1326080474 | David Nehme | Urology | 528 Se Osceola St, Stuart, FL 34994-2366 | 2006-06-12 |
Find all providers in STUART |
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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.