Healthcare Provider Details

I. General information

NPI: 1225613078
Provider Name (Legal Business Name): FLOR DE MARIA SALINAS MIRANDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 S HIAWASSEE RD STE 216
ORLANDO FL
32835-8747
US

IV. Provider business mailing address

2611 WINTER CALM LANE
KISSIMMEE FL
34744
US

V. Phone/Fax

Practice location:
  • Phone: 689-305-2355
  • Fax:
Mailing address:
  • Phone: 786-538-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN27886
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: