NPI Details | |
---|---|
NPI | 1164451910 |
Enumeration Date | 07/02/2006 |
Last Updated | 07/08/2007 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
---|---|
Name | DALE ELIZABETH DALE |
Position | ADMINISTRATOR |
Phone | (772) 299-4730 |
Fax | (772) 299-4720 |
Practice Location | |
---|---|
920 37TH PL SUITE 104 VERO BEACH FL, 32960-6573, US |
|
Phone | (772) 299-4730 |
Fax | (772) 299-4720 |
Business Location | |
---|---|
920 37TH PL SUITE 104 VERO BEACH FL, 32960-6573, US |
|
Phone | (772) 299-4730 |
Fax | (772) 299-4720 |
Toxanomy | |
---|---|
Taxonomy Code | 174400000X |
License State | Florida |
License Number | ME0043449 |
Remove 1164451910 NPI Number |
According to our database, Fernando G Miranda Md NPI is 1164451910, taxonomy code is 174400000X and license number is ME0043449, license state is located at Florida. Fernando G Miranda Md physically located at 920 37th Pl, Vero Beach FL, 32960-6573. NPI Number 1033115704 has the healthcare provider type.
Sponsored links
1164451910 NPI number is provided on an as is basis without warranty of any kind. 1164451910 is maintained by the National Plan & Provider Enumeration System. The contents of Fernando G Miranda Md are for informational purposes only.
Sponsored links