De Miranda, Federico Carlos

De Miranda, Federico Carlos is an individual health care provider with primary practice located at 7303 Rogers Ave Suite 200, Fort Smith AR 72903-4165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. De Miranda, Federico Carlos can be contacted via phone (479) 314-4810.

Contact Information

Primary practice address
7303 Rogers Ave Suite 200 Fort Smith AR 72903-4165
Phone: (479) 314-4810
Fax: (479) 314-2075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C-5393 Arkansas

Profile Details

NPI number 1831152495
LBN Legal business name De Miranda, Federico Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 13th, 2014 - about 12 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 1831152495 NPPES
Arkansas MEDICAID 150597002
Arkansas Other F31893
Arkansas MEDICAID 105837001
Arkansas Other 5-1332

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