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Individual

FRANCISCO JOSE CARRERAS-MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1990 N PROSPECT AVE, LECANTO, FL 34461-9792
(352) 527-6888
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
(352) 563-0935

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18636
PR
208D00000X
General Practice Physician
Primary
ACN1157
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103304000
FL
Enumeration date
08/03/2012
Last updated
10/14/2021
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