Individual
DR. MICHAEL DAVID MIRMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6650 78TH AVE N, PINELLAS PARK, FL 33781-2053
(727) 610-5335
(727) 610-5335
Mailing address
6650 78TH AVE N, PINELLAS PARK, FL 33781-2053
(727) 610-5335
(727) 610-5335
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
141171
CA
208200000X
Plastic Surgery Physician
Primary
25MA10070800
NJ
208200000X
Plastic Surgery Physician
C1-0013021
DE
208200000X
Plastic Surgery Physician
MD466542
PA
Other
Enumeration date
05/16/2014
Last updated
05/30/2025
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