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Organization
TELEMERGE PA
Active
Organization
TELEMERGE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAGRACIA MIRANDA MD (PRESIDENT/OWNER)
(305) 305-0310
Entity
Organization
Contact information
Practice address
1000 5TH ST STE 200, MIAMI BEACH, FL 33139-6510
(305) 305-0310
(347) 579-0008
Mailing address
1000 5TH ST STE 200, MIAMI BEACH, FL 33139-6510
(305) 305-0310
(347) 579-0008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
11/02/2023
Last updated
02/01/2024
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