Mirabelli, Jorge Luis Anibal

Mirabelli, Jorge Luis Anibal is an individual health care provider with primary practice located at 570 Memorial Cir Suite 200, Ormond Beach FL 32174-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mirabelli, Jorge Luis Anibal can be contacted via phone (386) 451-2346.

Contact Information

Primary practice address
570 Memorial Cir Suite 200 Ormond Beach FL 32174-5002
Phone: (386) 451-2346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME101968 Florida

Profile Details

NPI number 1164455119
LBN Legal business name Mirabelli, Jorge Luis Anibal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jan 31st, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164455119 NPPES
Florida MEDICAID 0001216-00
Florida MEDICAID 670456672A
Florida MEDICAID 2504810
Florida Other P00174902

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