Damien, Susan Miranda

Damien, Susan Miranda is an individual health care provider with primary practice located at 317 Ne 36Th Ave Ste 2 , Ocala FL 34470-1335. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Damien, Susan Miranda can be contacted via phone (352) 833-6372.

Contact Information

Primary practice address
317 Ne 36Th Ave Ste 2 Ocala FL 34470-1335
Phone: (352) 833-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-152310 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9246912 Florida
Nursing Service Providers / Registered Nurse 163W00000X 9246912 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9246912 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9246912 Florida

Profile Details

NPI number 1861853871
LBN Legal business name Damien, Susan Miranda
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated Aug 8th, 2022 - about 3 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 1861853871 NPPES
Florida MEDICAID 018831700

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