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Individual

DR. FERNANDO L MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 2ND ST SE, WINTER HAVEN, FL 33880-6300
(863) 293-2107
(863) 298-8487
Mailing address
50 2ND ST SE, WINTER HAVEN, FL 33880-6300
(863) 293-2107
(863) 298-8487

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME69239
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257540000
FL
Enumeration date
05/17/2006
Last updated
08/31/2010
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