Provider Demographics
NPI:1881873354
Name:MIRACLES IN MOTION, INC.
Entity type:Organization
Organization Name:MIRACLES IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUWANNA
Authorized Official - Middle Name:LAKESHA
Authorized Official - Last Name:ZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-932-0400
Mailing Address - Street 1:1911 U.S. HWY 301 N
Mailing Address - Street 2:STE 440
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619
Mailing Address - Country:US
Mailing Address - Phone:813-932-0400
Mailing Address - Fax:813-932-0446
Practice Address - Street 1:1911 U.S. HWY 301 N
Practice Address - Street 2:STE 440
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619
Practice Address - Country:US
Practice Address - Phone:813-932-0400
Practice Address - Fax:813-932-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL692792196251C00000X
FL692792198251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL692792196Medicaid