Miracleclinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MIRACLECLINIC

Practice address

2006 Reston Cir
Royal Palm Beach, FL 33411-6110

Phone

(156) 192-9658

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Marie Etienne

Title

FNP

Phone

(561) 929-6581

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1841908019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 RESTON CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116110",
            "telephone_number": "156-192-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 RESTON CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116110",
            "telephone_number": "156-192-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLECLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "561-929-6581"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922610971",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "miracleclinic.health",
            "affiliation": "N",
            "address_1": "2006 Reston Cir",
            "city": "Royal Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334116110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Milord, ARNP
• Vivianne Andrea Milovan, APRN
• Sheri Milton, PHARMD
• Mind & Heart Connect LLC
• Kathleen Elizabeth Minnick, MD
• Christina Mitchell, MS SLP-CCC
• Lilian Parreiras Mitton, APRN, NNP-BC
• Hollie Debra Moffett, ARNP
• Mohammad T Javed MD.PA
• Gomathy Mohan, MD

• Primary Care Clinic/Center in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.