Individual
PATRICK JAMES MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1050 OLD CAMP RD, THE VILLAGES, FL 32162-1762
(352) 350-8484
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 938-2020
(727) 938-5606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115197100
—
FL
Enumeration date
07/01/2022
Last updated
04/11/2023
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