Johnny Miracola, DO Valid NPI
Individual provider · Optician · Pembroke Pines, FL
- NPI
- 1396449070
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- DO6492 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
Practice location
255 N University Dr
Pembroke Pines, FL 33024-6715
(954) 987-2421