Miracle Resort Health International Spa Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MIRACLE RESORT HEALTH INTERNATIONAL SPA INC.

Practice address

5400 S Biscayne Dr
Suite a
North Port, FL 34287-1932

Phone

(941) 423-0800

Fax

(941) 423-0232

NPI assigned

Jul 1, 2009

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Briggs, D.O.

Title

Owner

Phone

(941) 423-0800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1043448715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "SUITE A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S BISCAYNE DR",
            "address_2": "SUITE A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871932",
            "telephone_number": "941-423-0800",
            "fax_number": "941-423-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE RESORT HEALTH INTERNATIONAL SPA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-423-0800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Milliken
• Christina Milo, APRN
• Kasey Milo
• Miracle Care Home Health Agency Corp.
• Miracle Life Adult Day Care Center LLC (Miracle Life Adult Day Health Care Center)
• Sabruna Mirtil
• Nikiya Mitchell
• Mobility Rides LLC
• Annette Moffat, R.N.
• Edward Moitoso, DMD

• Geriatric Medicine (Family Medicine) Physician in North Port, FL
• Providers in North Port, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.