Individual
MIRANDA JO BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 N DONNELLY ST STE 11, MOUNT DORA, FL 32757-4835
(207) 249-9121
Mailing address
1136 MERION DR, MOUNT DORA, FL 32757-8724
(207) 249-9121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11045107
FL
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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