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DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM
NPI 1295749968
Family Medicine - Addiction Medicine in Ponte Vedra Beach, FL

Active since July 28, 2006
1030 A1A N, PONTE VEDRA BEACH, FL 32082(904) 551-1394(888) 770-4284 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Oct 24, 2019, Apr 1, 2017 (3 updates tracked since 2017).

About Dr. Jeremy Shawn Mirabile M.d. Abpm-adm, Fasam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM (NPI 1295749968) is an individual addiction medicine provider in Ponte Vedra Beach, Florida, licensed in Florida (ME88707) and active in the NPI registry since July 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295749968
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. JEREMY SHAWN MIRABILECredential: M.D. ABPM-ADM, FASAM
Location Address1030 A1A NPonte Vedra Beach, FL 32082-4019
Mailing Address1030 A1a NPonte Vedra Beach, FL 32082-4019 · (904) 551-1394 · Fax (888) 770-4284
Phone(904) 551-1394
Fax(888) 770-4284
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 30, 20243 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1295749968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in FL · ME88707
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1030 A1A N, Ponte Vedra Beach, FL 32082
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Secondary Practice Locations 2

Location 16100 Greenland Rd, Suite 201Jacksonville, FL 32258 · Phone (904) 551-1394 · Fax (888) 770-4284
Location 21106 A1A N Ste 201APonte Vedra Beach, FL 32082-4097 · Phone (904) 551-1394

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PONTE VEDRA BEACH SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
SURGERY CENTER OF PONTE VEDRA BEACH LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
PONTE VEDRA BCH SURGERY CLINIC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-1199
RECOVERY KEYS, INC
Substance Abuse Rehabilitation Facility
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 551-1394
SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (907) 285-1199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Mirabile's NPI number?

The NPI number for Jeremy Mirabile is 1295749968. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Jeremy Mirabile located?

Jeremy Mirabile practices at 1030 A1a N, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 551-1394.

What is Jeremy Mirabile's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Jeremy Mirabile was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.