Healthcare Provider Details

I. General information

NPI: 1841137775
Provider Name (Legal Business Name): DR. MIRIAM M RODON NAVEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 DIVINE CIR
ORLANDO FL
32828-8104
US

IV. Provider business mailing address

600 DIVINE CIR
ORLANDO FL
32828-8104
US

V. Phone/Fax

Practice location:
  • Phone: 661-345-2118
  • Fax: 661-345-2118
Mailing address:
  • Phone: 661-345-2118
  • Fax: 661-345-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: