Individual
JASON MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
520 E STRAWBRIDGE AVE, MELBOURNE, FL 32901-4732
(321) 837-3820
(321) 837-3654
Mailing address
3049 LINDALE AVE, ORLANDO, FL 32814-6770
(352) 665-2892
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9292247
FL
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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