Individual
MRS. FABIANA GARCIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WSC
Contact information
Practice address
3025 WISTER CIR, VALRICO, FL 33594-5641
(813) 760-5013
Mailing address
3025 WISTER CIR, VALRICO, FL 33594-5641
(813) 760-5013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
12/17/2006
Last updated
07/08/2007
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