Individual
DR. EDGAR G MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3280 N MCMULLEN BOOTH RD STE 200, CLEARWATER, FL 33761-2046
(727) 216-1141
(727) 796-1590
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME73863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266946300
—
FL
01
—
P00663688
RR MEDICARE
FL
Enumeration date
05/31/2006
Last updated
01/30/2026
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