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NPI Code Detail

MEDICARE: DR. YAMIL MIRANDA-USUA M.D.

MEDICARE: DR. YAMIL MIRANDA-USUA M.D.
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
1207Q00000XFamily Medicine PhysicianME 106483FL

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 : 1952564858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAMIL MIRANDA-USUA M.D.
Provider Business Mailing Address
First Line : PO BOX 1289
Second Line : ATTN MANAGED CARE
City : TAMPA
State : FL
Zip : 33601-1289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2106 S LOIS AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-5659
Country : US
Telephone Number : 813-844-4200
Fax Number : 813-844-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 08/16/2022

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