Miranda, Lorena

Miranda, Lorena is an individual health care provider with primary practice located at 13275 W Colonial Dr , Winter Garden FL 34787-3984. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Miranda, Lorena can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
13275 W Colonial Dr Winter Garden FL 34787-3984
Fax: (407) 654-4079
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4225 Florida

Profile Details

NPI number 1689865149
LBN Legal business name Miranda, Lorena
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Nov 15th, 2018 - about 8 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 1689865149 NPPES
Florida MEDICAID 621259000

Popular Providers