Individual
LESLIE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 667-4938
Mailing address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 667-4938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758600100
—
FL
Enumeration date
11/13/2013
Last updated
11/13/2013
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