Mira Vie At Brick Opco Llc

Specialty details in registry · Brick, NJ

Call (732) 236-7981 Directions

At a glance

458 Jack Martin Blvd, Brick, NJ 08724-7739

NPPES record updated May 7, 2024. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

458 Jack Martin Blvd
Brick, NJ 08724-7739

Professional details: NPI, taxonomy & registry record

NPI1306694203

Call Directions

Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 310400000X
Enumeration date: May 7, 2024
Record updated: May 7, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

310400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

458 Jack Martin Blvd
Brick, NJ 08724-7739

Phone: (732) 236-7981
Fax: (844) 808-0071

Mailing address

4301 ANCHOR PLAZA PKWY STE 300

TAMPA, FL 336347521

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue