Individual
JODI MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLE
Contact information
Practice address
9275 SW 152ND ST, SUITE 100, PALMETTO BAY, FL 33157-1701
(305) 498-6722
Mailing address
329 RIDGEWOOD RD, CORAL GABLES, FL 33133-6615
(407) 375-1672
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
4-201604
FL
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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