Individual
MR. CARLOS GUILLERMO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904B CYPRESS PKWY, KISSIMMEE, FL 34759-3456
(407) 483-1400
(407) 483-1405
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08679200
NJ
207R00000X
Internal Medicine Physician
Primary
ME147423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002521000
—
FL
01
—
12076391
CAQH
—
Enumeration date
10/29/2009
Last updated
02/13/2026
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