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General NPI Number Information
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NPI Number | 1790588408
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Entity Type | Individual
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Provider Name | EVENIE FRANTZDIA MIRALLES MSN, APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 8725 AZALEA CT APT 203
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City | TAMARAC
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State | FL
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Zip | 33321-2043
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Country | US
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Telephone | 786-930-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 8725 AZALEA CT APT 203
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City | TAMARAC
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State | FL
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Zip | 33321-2043
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Country | US
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Telephone | 786-930-8181
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11038500
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11038500
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11038500
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License Number State | FL
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