MEDICARE: DAYRON MIRANDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS55100	FL

General Provider Information

NPI Number	:	1427667831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYRON MIRANDA

Provider Business Mailing Address
First Line	:	20331 NW 4TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-3409
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-2714
Country	:	US
Telephone Number	:	305-865-8690
Fax Number	:	305-865-4626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	07/31/2020

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Directions to “ DAYRON MIRANDA ” Practice Location

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