Individual
ALFREDO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15818 SW WARFIELD BLVD, INDIANTOWN, FL 34956-3513
(772) 597-0411
Mailing address
PO BOX 458, INDIANTOWN, FL 34956-0458
(772) 323-9249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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