MR. JORGE LUIS ANIBAL MIRABELLI (NPI# 1164455119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164455119 |
| Entity Type | Individual |
| Full Name | MR. JORGE LUIS ANIBAL MIRABELLI |
| Credential | M.D. |
| Practice Address |
570 Memorial Cir Suite 200 Ormond Beach FL 32174-5002 |
| Practice Telephone | 3864512346 |
| Mailing Telephone | 3864512346 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME101968 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 670456672A | 05 | |
| MCR RR | P00174902 | 01 | |
| OH | 2504810 | 05 | |
| FL | 0001216-00 | 05 |
| Street Address |
570 MEMORIAL CIR SUITE 200 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046335 | Jacki Lynn Nesbitt | Psychologist | 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174-5002 | 2005-07-13 |
| 1184165862 | Compassionate Health and Managed Pain LLC | Psychiatry & Neurology | 570 Memorial Cir, Suite 200, Ormond Beach, FL 32174-5002 | 2017-03-15 |
| 1922347863 | Judith L Hewes | Social Worker | 570 Memorial Cir, Suite 310, Ormond Beach, FL 32174-5002 | 2013-02-13 |
| 1720325798 | Suresh Desai Md Pa | Internal Medicine | 570 Memorial Cir, Ormond Beach, FL 32174-5002 | 2013-01-11 |
| 1821313271 | Danny M Farmer Md Pa | Internal Medicine | 570 Memorial Cir, Suite 110, Ormond Beach, FL 32174-5002 | 2010-03-29 |
| 1063734960 | Lana Esther Brown | Counselor | 570 Memorial Cir, Ste. 150, Ormond Beach, FL 32174-5002 | 2010-02-18 |
| 1831361757 | Stacia L. Pilcher, Lmt | Massage Therapist | 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174-5002 | 2008-04-01 |
| 1033388053 | David Leroy Affolter | Counselor | 570 Memorial Cir, Suite 150, Ormond Beach, FL 32174-5002 | 2008-02-23 |
| 1962600510 | Christine Herman Acsw Lcsw LLC | Social Worker | 570 Memorial Cir, Suite 310, Ormond Beach, FL 32174-5002 | 2007-07-05 |
| 1881891174 | Medical Psychology Center Pa | Psychologist | 570 Memorial Cir, Ste 150, Ormond Beach, FL 32174-5002 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997707 | Mandeep Garewal | Psychiatry & Neurology | 8 Mirror Lake Drive, Suite A, Ormond Beach, FL 32174 | 2006-08-31 |
| 1871980631 | Neurology Associates of Ormond Beach | Psychiatry & Neurology | 8 Mirror Lake Dr, Ormond Beach, FL 32174-3101 | 2015-04-20 |
| 1386712933 | Jack Rotstein | Psychiatry & Neurology | 8 Mirror Lake Dr, Suite A, Ormond Beach, FL 32174-3101 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on MR. JORGE LUIS ANIBAL MIRABELLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.