Individual
MIRANDA N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10151 BLAZED TREE CT, ORLANDO, FL 32821-8272
(757) 376-2733
Mailing address
10151 BLAZED TREE CT, ORLANDO, FL 32821-8272
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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