Visaya, Jiovani Miranda

Visaya, Jiovani Miranda is an individual health care provider with primary practice located at 10150 Hagen Ranch Road Suite 100, Boynton Beach FL 33437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Visaya, Jiovani Miranda can be contacted via phone (561) 736-8141.

Contact Information

Primary practice address
10150 Hagen Ranch Road Suite 100 Boynton Beach FL 33437
Phone: (561) 736-8141
Fax: (561) 736-5662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 258899 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D77377 Maryland
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME123156 Florida

Profile Details

NPI number 1487897500
LBN Legal business name Visaya, Jiovani Miranda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated May 24th, 2023 - about 3 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 1487897500 NPPES
Florida MEDICAID 015151100

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