Persaud, Miranda Kavita

Persaud, Miranda Kavita is an individual health care provider with primary practice located at Po Box 1268 , New Smyrna Beach FL 32170-1268. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Persaud, Miranda Kavita can be contacted via phone (386) 259-8803.

Contact Information

Primary practice address
Po Box 1268 New Smyrna Beach FL 32170-1268
Phone: (386) 259-8803
Fax: (386) 213-9981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115776 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X PA9115776 Florida

Profile Details

NPI number 1619601671
LBN Legal business name Persaud, Miranda Kavita
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2022
Last updated Jul 12th, 2024 - about 2 months 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 1619601671 NPPES
Florida MEDICAID 202248493

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