MIRACLE PAIN RELIEF LLC NPI 1124868856

NPI Information

  • NPI: 1124868856
  • Provider Name: MIRACLE PAIN RELIEF LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 234 WILLARD ST STE C
    COCOA, FL
    ZIP 32922
  • Phone: (321) 477-2273

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NPI Details

MIRACLE PAIN RELIEF LLC is a clinic center in Cocoa, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIRACLE PAIN RELIEF LLC NPI is 1124868856. The provider is registered as an organization entity type.

The provider's business location address is:

234 WILLARD ST STE C
COCOA, FL
ZIP 32922-984
Phone: (321) 477-2273

The provider's authorized official is Jarod Forrest Hunter Hoekstra .
The authorized official title is Myofascial Specialist and has the following contact phone number (321) 477-2273.

The enumeration date for this NPI number is 5/30/2024 and was last updated on 5/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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