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Individual

ALEX SARMEN MIRAKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3031 CARTERS MILL RD, MARIANNA, FL 32446-1902
(850) 526-2104
(850) 482-2445
Mailing address
PO BOX 931176, ATLANTA, GA 31193-1176

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME158312
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14301
DIMENSION HEALTH PPO
FL
05
256925
AL
05
258638
AL
01
329725
AVMED
FL
01
58061
BCBS
FL
01
9811089
AETNA
FL
01
A98751A
MEDICARE PTAN
AL
01
P01568224
RR MEDICARE
FL
01
P02566934
RAILROAD MEDICARE
AL
01
P938828
OPTIMUM
FL
01
P997944
FREEDOM
FL
Enumeration date
02/13/2007
Last updated
02/26/2026
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