Individual
MIRANDA GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 RYECREST LN, PALM COAST, FL 32164-3425
(662) 646-0314
Mailing address
33 RYECREST LN, PALM COAST, FL 32164-3425
(662) 646-0314
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11045369
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11045369
FL
Other
Enumeration date
02/19/2026
Last updated
05/14/2026
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