MIRANDAHEALTH MEDICAL CENTER LLC NPI 1780447631

NPI Information

NPI: 1780447631
Provider Name: MIRANDAHEALTH MEDICAL CENTER, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1722 WHITE HERON BAY CIRCLE
ORLANDO, FL
ZIP 32824
Phone: (209) 456-4323
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MIRANDAHEALTH MEDICAL CENTER, LLC is a family nurse practitioner in Orlando, FL. MIRANDAHEALTH MEDICAL CENTER, LLC NPI is 1780447631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1722 WHITE HERON BAY CIRCLE
ORLANDO, FL
ZIP 32824
Phone: (209) 456-4323
Fax: (866) 670-0132

The provider's authorized official is Raydel Miranda .
The authorized official title is Ceo and has the following contact phone number (209) 456-4323.

The enumeration date for this NPI number is 2/2/2024 and was last updated on 2/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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