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General NPI Number Information
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NPI Number | 1750966149
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Entity Type | Organization
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Legal Business Name | UBALDO A MIRANDA MD PA
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3218 HILLSDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7562
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Country | US
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Telephone | 407-350-3525
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Fax | 407-264-6011
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Provider Business Mailing Address
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Address Line | 3218 HILLSDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7562
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Country | US
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Telephone | 407-350-3525
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Fax | 407-264-6011
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Authorized Official
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Title or Position | PRESIDENT
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Name | UBALDO A MIRANDA
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Credential | MD
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Telephone | 786-241-3749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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