| 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.
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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.
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