Individual
FABIOLA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-9089
(727) 322-1054
(727) 322-2725
Mailing address
1839 CENTRAL AVE, ST PETERSBURG, FL 33713-9089
(727) 322-1054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME177470
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/04/2021
Last updated
12/03/2025
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