Gonzalez, Miranda Lea

Gonzalez, Miranda Lea is an individual health care provider with primary practice located at 801 W Sr 436 Ste 2015 , Altamonte Springs FL 32714-3053. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Gonzalez, Miranda Lea can be contacted via phone (407) 285-4789.

Contact Information

Primary practice address
801 W Sr 436 Ste 2015 Altamonte Springs FL 32714-3053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 238214 Florida

Profile Details

NPI number 1285387886
LBN Legal business name Gonzalez, Miranda Lea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2022
Last updated Feb 2nd, 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 1285387886 NPPES
Florida MEDICAID 238214

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