Individual
DR. ERNESTO J MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7928 SW 8TH ST, MIAMI, FL 33144-4209
(305) 261-5000
(305) 262-3564
Mailing address
6614 SW 114TH PL, UNIT # H, MIAMI, FL 33173-1781
(305) 595-1842
(305) 595-9624
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME66050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 66050
LICENSE NUMBER
FL
Enumeration date
06/09/2006
Last updated
07/08/2007
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