Organization Active NPI

Miracles Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1821897471
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIRACLES MEDICAL SUPPLIES LLC
Practice address
4674 Town Center Pkwy Apt 260
Jacksonville, FL 32246-8904
Phone
(904) 574-7180
Fax
(904) 574-7180
NPI assigned
Mar 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Latasha LooperNPI 1538979414
Title
Employee of the Organization
Phone
(904) 574-7180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4674 Town Center Pkwy Apt 260
Jacksonville, FL 32246-8904

Mailing address

4674 Town Center Pkwy Apt 260
Jacksonville, FL 32246-8904
Phone (904) 574-7180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1821897471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 TOWN CENTER PKWY APT 260",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468904",
            "telephone_number": "904-574-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 TOWN CENTER PKWY APT 260",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468904",
            "telephone_number": "904-574-7180",
            "fax_number": "904-574-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "LOOPER",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "EMPLOYEE OF THE ORGANIZATION",
        "authorized_official_telephone_number": "904-574-7180"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.