Individual
ISABELA MIRADICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL 32117-5170
(386) 615-0900
(386) 615-0902
Mailing address
305 MEMORIAL MEDICAL PKWY STE 501, DAYTONA BEACH, FL 32117-5170
(386) 615-0900
(386) 615-0902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116027
PA LICENSE
FL
Enumeration date
11/30/2021
Last updated
07/12/2024
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