Organization
LOS MIRANDAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO R MIRANDA (OWNER)
(786) 571-3231
Entity
Organization
Contact information
Practice address
1471 NW 10TH ST, HOMESTEAD, FL 33030-3823
(786) 571-3231
Mailing address
PO BOX 700125, MIAMI, FL 33170-0125
(786) 571-3231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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