Individual
JEANETTE L MIRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
(407) 567-5924
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9472877
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
APRN11023854
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11023854
FL
Other
Enumeration date
12/03/2020
Last updated
09/11/2023
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