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NPI Code Detail

MEDICARE: MIRANDA SAINT-LOUIS N.P.

MEDICARE:   MIRANDA  SAINT-LOUIS  N.P.
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
1363LF0000XFamily Nurse Practitioner11013250FL
2363LF0000XFamily Nurse Practitioner339763NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922484898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA SAINT-LOUIS N.P.
Provider Business Mailing Address
First Line : 3030 E SEMORAN BLVD STE 264
Second Line :
City : APOPKA
State : FL
Zip : 32703-5953
Country : US
Telephone Number : 516-469-1406
Fax Number :
Provider Business Practice Location Address
First Line : 3030 E SEMORAN BLVD STE 264
Second Line :
City : APOPKA
State : FL
Zip : 32703-5953
Country : US
Telephone Number : 321-280-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 02/02/2023

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Directions to “ MIRANDA SAINT-LOUIS N.P.” Practice Location

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