Individual
DR. ELAD MIRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
308 NW BETHANY DR, PORT SAINT LUCIE, FL 34986-3578
(772) 210-3928
Mailing address
308 NW BETHANY DR, PORT SAINT LUCIE, FL 34986-3578
(772) 227-1232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27859
FL
Other
Enumeration date
06/09/2022
Last updated
09/23/2024
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