| Idalia Montanez Miranda Pllc | |
|
130 Shipyard Way Unit 1107 St Augustine FL 32084-4239 | |
| (805) 505-7210 | |
| Not Available |
| Full Name | Idalia Montanez Miranda Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 130 Shipyard Way Unit 1107, St Augustine, Florida |
| Authorized Official Name and Position | Idalia Montanez-miranda (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8055057210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idalia Montanez Miranda Pllc Po Box 126 St Augustine FL 32085-0126 Ph: (805) 505-7210 | Idalia Montanez Miranda Pllc 130 Shipyard Way Unit 1107 St Augustine FL 32084-4239 Ph: (805) 505-7210 |
| NPI Number | 1588580716 |
|---|---|
| Provider Enumeration Date | 06/24/2026 |
| Last Update Date | 06/24/2026 |
| Certification Date | 06/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588580716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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