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Individual

ENIO REYES MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
8370 W FLAGLER ST STE 242, MIAMI, FL 33144-2040
(786) 321-1600
(786) 744-7937
Mailing address
1315 SW 94TH CT, MIAMI, FL 33174-3072
(786) 307-1876

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN9364263
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9364263
FL

Other

Enumeration date
10/07/2010
Last updated
04/10/2024
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