Miranda, Elton Gene

Miranda, Elton Gene is an individual health care provider with primary practice located at 1865 Lpga Blvd , Daytona Beach FL 32117-7108. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Miranda, Elton Gene can be contacted via phone (386) 255-4596.

Contact Information

Primary practice address
1865 Lpga Blvd Daytona Beach FL 32117-7108
Phone: (386) 255-4596
Fax: (386) 258-3561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9271273 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9271273 Florida

Profile Details

NPI number 1225436587
LBN Legal business name Miranda, Elton Gene
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Nov 20th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225436587 NPPES
Florida MEDICAID 014172900

Popular Providers