Individual
MIRANDA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
601 7TH ST S STE 205, SAINT PETERSBURG, FL 33701-4748
(727) 893-6234
(727) 893-6111
Mailing address
601 7TH ST S STE 205, SAINT PETERSBURG, FL 33701-4748
(727) 893-6234
(727) 553-7798
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11040838
FL
363LF0000X
Family Nurse Practitioner
681473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129069000
—
FL
Enumeration date
07/05/2025
Last updated
11/15/2025
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