MEDICARE: MIRANDA GURLEY

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	2084P0800X	Psychiatry Physician	11045369	FL

General Provider Information

NPI Number	:	1225981160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA GURLEY

Provider Business Mailing Address
First Line	:	33 RYECREST LN
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-3425
Country	:	US
Telephone Number	:	662-646-0314
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 RYECREST LN
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-3425
Country	:	US
Telephone Number	:	662-646-0314
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

Similar Medicare Providers

1942449061 — IMIS PLLC
Practice Location Address:

1411 N FLAGLER DR STE 6400
WEST PALM BEACH, FL
33401-3425

Practice Phone: 561-267-0373
Practice Fax:

1609193697 — DR. EDWARD H DAVIDSON MD
Practice Location Address:

1411 N FLAGLER DR STE 6400
WEST PALM BEACH, FL
33401-3425

Practice Phone: 561-800-3223
Practice Fax: 561-879-9388

1104115039 — DR. RACHEL CHANTEIL CARTECHINE M.D.
Practice Location Address:

3425 BAYSIDE LAKES BLVD SE STE 110
PALM BAY, FL
32909-6867

Practice Phone: 321-312-3477
Practice Fax: 321-951-7408

1215279500 — PRIYA VAKHARIA MD
Practice Location Address:

3384 TAMPA RD
PALM HARBOR, FL
34684-3425

Practice Phone: 727-333-9055
Practice Fax: 727-333-9045

1649681602 — DR. ADAM MICHAEL CLOSE M.D., B.SC.
Practice Location Address:

3425 BAYSIDE LAKES BLVD SE STE 110
PALM BAY, FL
32909-6867

Practice Phone: 321-312-3477
Practice Fax: 321-637-1598

1861857583 — MRS. NEKISHA KILLINGS MPH, IBCLC
Practice Location Address:

3425 BAYSIDE LAKES BLVD SE # 103-1032
PALM BAY, FL
32909-6867

Practice Phone: 805-793-0499
Practice Fax:

Directions to “ MIRANDA GURLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.