Individual
JOHANNA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
2561 TANNER TER, KISSIMMEE, FL 34743-6118
(407) 729-9212
Mailing address
2561 TANNER TER, KISSIMMEE, FL 34743-6118
(407) 729-9212
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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