Dr. Jeremy Shawn Mirabile
Family Doctor - Addiction Medicine
6100 Greenland Rd Suite 201
Jacksonville
, Florida 32258
Dr. Jeremy Shawn Mirabile
Family Doctor - Addiction Medicine
6100 Greenland Rd Suite 201
Jacksonville
, Florida 32258
(888) 770-4284
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeremy Shawn Mirabile
- 6100 Greenland Rd Suite 201
- Jacksonville, FL
- Zip : 32258
- Fax : (888) 770-4284
- Phone : (904) 551-1394
Second Address
- Dr. Jeremy Shawn Mirabile
- 6100 Greenland Rd Suite 201
- Jacksonville, FL
- Zip : 32258
- Fax : (888) 770-4284
- Phone : (904) 551-1394
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | ME88707 | FL |
National Provider Identifier
| NPI | 1295749968 |
|---|---|
| Provider Name | Dr. Jeremy Shawn Mirabile |
| First Address | Jacksonville, FL 32258 |
| Second Address | Jacksonville, FL 32258 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 24/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.