Fernando G Miranda Md

NPI 1164451910 - Specialist - 174400000X

NPI Details
NPI 1164451910
Enumeration Date 07/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 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
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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.

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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.