Miranda, Edgar G
Miranda, Edgar G is an individual health care provider with primary practice located at 3280 N Mcmullen Booth Rd Ste 200 , Clearwater FL 33761-2046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Miranda, Edgar G can be contacted via phone (727) 216-1141.Contact Information
Primary practice address
3280 N Mcmullen Booth Rd Ste 200
Clearwater FL 33761-2046
Phone: (727) 216-1141
Fax: (727) 796-1590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME73863 | Florida |
Profile Details
| NPI number | 1487691655 |
|---|---|
| LBN Legal business name | Miranda, Edgar G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487691655 | NPPES |
| Florida | MEDICAID | 266946300 | |
| Florida | Other | P00663688 |
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