Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Shawn Mirabile, MDABPM-ADM, FASAM

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1295749968

Dr. Jeremy Shawn Mirabile, MDABPM-ADM, FASAM is an Addiction Medicine (Family Medicine) Physician in Ponte Vedra Beach, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1030 A1A N
Ponte Vedra Beach, FL 32082-4019
Phone: (904) 551-1394
Fax: (888) 770-4284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6100 Greenland Rd, Jacksonville, FL 32258 — (904) 551-1394
  • 1106 A1a N Ste 201a, Ponte Vedra Beach, FL 32082-4097 — (904) 551-1394

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence ME88707 (FL)

Record details

NPI number1295749968
Entity typeIndividual (Type 1)
GenderMale
Credentials MDABPM-ADM , FASAM
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024