Miranda, Crystal Young

Miranda, Crystal Young is an individual health care provider with primary practice located at 400 Celebration Pl , Celebration FL 34747-4970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Miranda, Crystal Young can be contacted via phone (407) 303-4000.

Contact Information

Primary practice address
400 Celebration Pl Celebration FL 34747-4970
Phone: (407) 303-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105266 Florida

Profile Details

NPI number 1851627178
LBN Legal business name Miranda, Crystal Young
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Aug 28th, 2020 - about 4 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 1851627178 NPPES
Florida Other P01270603 RR MEDICARE
Florida MEDICAID 001550100 RR MEDICARE

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