Antonio-Miranda, Maria

Antonio-Miranda, Maria is an individual health care provider with primary practice located at 1409 Kingsley Avenue Bldg 3B, Orange Park FL 32073-4491. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Antonio-Miranda, Maria can be contacted via phone (904) 269-9200.

Contact Information

Primary practice address
1409 Kingsley Avenue Bldg 3B Orange Park FL 32073-4491
Phone: (904) 269-9200
Fax: (904) 269-7796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME74317 Florida

Profile Details

NPI number 1972525327
LBN Legal business name Antonio-Miranda, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972525327 NPPES
Florida MEDICAID 255678200

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