Panseonat Miracle LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME 93717 Issued in FL

Legal business name

PANSEONAT MIRACLE LLC

Practice address

5400 Biscayne Dr
Suite a
North Port, FL 34287-0000

Phone

(877) 387-1777

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dorit Yabrov, M.D.

Title

Medical Director

Phone

(941) 484-9730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851322341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BISCAYNE DR",
            "address_2": "SUITE A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342870000",
            "telephone_number": "877-387-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BISCAYNE DR",
            "address_2": "SUITE A",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342870000",
            "telephone_number": "877-387-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANSEONAT MIRACLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YABROV",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-484-9730",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 93717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Orre
• Merritt Owen
• Gary Roy Paben, M.P.T.
• Jennifer Pahl
• Jane F Paino, MD
• Dominic Paredes
• Stacie Paroda
• Thomas Parotino, RBT
• Ruth Pasyuk, RDN
• Anish Patel, PHARMD

• Geriatric Medicine (Family Medicine) Physician in North Port, FL
• Providers in North Port, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.