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Individual

ANDREA MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449
Mailing address
1885 S 14TH ST, FERNANDINA BEACH, FL 32034-3033
(904) 277-4449

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28686
FL

Other

Enumeration date
12/06/2016
Last updated
08/31/2021
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