Individual
IBRAHIN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1562 SW 144TH AVE, MIAMI, FL 33184-3271
(786) 797-4482
Mailing address
1562 SW 144TH AVE, MIAMI, FL 33184-3271
(786) 797-0581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH10531
FL
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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