Miratus Louis Moline, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9251699 Issued in FL

Practice address

5258 Linton Blvd # G1
Delray Beach, FL 33484-6540

Phone

(561) 330-4695

Fax

(561) 330-4696

NPI assigned

Nov 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banyan Treatment and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Pompano Beach, FL
  • NPI 1598192460
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1124458963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 HARBOUR OAK DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676840",
            "telephone_number": "239-641-2050",
            "fax_number": "561-330-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD # G1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846540",
            "telephone_number": "561-330-4695",
            "fax_number": "561-330-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "MIRATUS",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9251699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF NURSING",
            "identifier": "ARNP9251699",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Mojica
• Molar Bear Dental PA
• William Gerald Molesky, DC, FIAMA
• Andrea Molina
• Jeannette P Molina
• Denise Mollo, LCSW
• Monarch Behavior Analysis, LLC
• Janus Moncur, LCSW
• Jaimee Montalvo, LCSW
• Karen L Monte

• Adult Health Nurse Practitioner in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.