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Individual

UBALDO A MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3218 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 738-4349
Mailing address
3218 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(786) 241-3749

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
HSE27900
FL
208D00000X
General Practice Physician
Primary
ME147214
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108267400
FL
Enumeration date
01/14/2019
Last updated
11/20/2023
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