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GASPAR MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(877) 832-2652
(800) 792-9021
Mailing address
8061 NW 125TH TER, PARKLAND, FL 33076-4925
(718) 666-1891
(800) 791-9021

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME158038
FL
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
01/22/2019
Last updated
11/15/2022
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