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:
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Health care specialties

SpecialtyCodeLicense #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 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 1487691655 NPPES
Florida MEDICAID 266946300
Florida Other P00663688

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