Individual
IDELVIS MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SW 52ND AVE, #3A, CORAL GABLES, FL 33134-8304
(786) 202-1919
Mailing address
11 SW 52ND AVE, #3A, CORAL GABLES, FL 33134-8304
(786) 202-1919
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
229764
FL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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