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Idelvis Miranda
NPI 1801938584 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11 Sw 52nd Ave
#3a
Coral Gables, FL 33134 - Phone
- (786) 202-1919
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida