Individual
MIRANDA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(321) 972-8326
Mailing address
2669 ENTERPRISE RD, ORANGE CITY, FL 32763-8217
(321) 972-8326
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI6737
FL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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