NPIMap

Organization Active NPI

Miracle Ear

  • Hearing and Speech Clinic/Center
  • Orange Park, FL
National Provider Identifier
1356670970
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
MIRACLE EAR
Practice address
1871 Wells Rd
Unit 1
Orange Park, FL 32073-2371
Phone
(904) 269-5700
Fax
(904) 269-9004
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Miss Melissa Maria Carlisle
Title
PCC
Phone
(850) 474-5459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X FL Primary

Addresses

Primary practice location

1871 Wells Rd
Unit 1
Orange Park, FL 32073-2371

Mailing address

7171 N Davis Hwy
Pensacola, FL 32504-6254
Phone (850) 474-5459

National Provider Directory

National Provider Directory
Tax ID family
Clear Ear3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1871 Wells Rd
Unit 1
Orange Park, FL 32073
Phone (904) 269-5700

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1356670970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046254",
            "telephone_number": "850-474-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 WELLS RD",
            "address_2": "UNIT 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732371",
            "telephone_number": "904-269-5700",
            "fax_number": "904-269-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE EAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PCC",
        "authorized_official_telephone_number": "850-474-5459",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.