Individual
MARTHA GARCIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18300 NW 62ND AVE STE 210, MIAMI GARDENS, FL 33015-8207
(786) 677-9922
Mailing address
18300 NW 62ND AVE STE 210, MIAMI GARDENS, FL 33015-8207
(786) 677-9922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11013518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11013518
FLORIDA ARNP LICENSE
FL
Enumeration date
08/09/2021
Last updated
08/09/2021
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