Individual
MICHAEL A MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
305 E BRANDON BLVD, BRANDON, FL 33511-5222
(813) 978-9700
(813) 558-6432
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS10347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135901
—
FL
01
—
1085844
CIGNA
FL
01
—
319144
AVMED
FL
01
—
46150
BC/BS
FL
01
—
9012205
AETNA
FL
Enumeration date
04/17/2008
Last updated
01/27/2020
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