Individual
CESAR ORLANDO MIRRIELES MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(954) 791-6146
(954) 337-2733
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-630
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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