Mira Zelin, DO, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS11859 Issued in FL

Legal business name

MIRA ZELIN, DO, LLC

Practice address

12440 Cortez Blvd
Brooksville, FL 34613-2628

Phone

(479) 601-2314

Fax

(479) 246-9005

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mira Zelin, DONPI 1487858593

Title

Physician

Phone

(479) 530-7035

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mira Zelin, DO

  • Physical Medicine & Rehabilitation Physician
  • Jonesboro, AR
  • NPI 1487858593

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1417242520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12038",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346032038",
            "telephone_number": "479-601-2314",
            "fax_number": "479-246-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132628",
            "telephone_number": "479-601-2314",
            "fax_number": "479-246-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA ZELIN, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "ZELIN",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-530-7035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Ann Miller, LMHC
• Pamela Miller
• Xavia Miller
• Cassandra Mills, ARNP
• Susan Mary Minter, CRNP
• Mirra Medical Group LLC
• Mitchell S Halperin M.D., P.a.
• Sylvia Mitchell-Jones
• Maya Camilla Mitchell, M.A., BCBA
• John Mitsis, RBT

• Physical Medicine & Rehabilitation Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.