| Ubaldo a Miranda MD PA | |
|
3218 Hillsdale Ln Kissimmee FL 34741-7562 | |
| (407) 350-3525 | |
| (407) 264-6011 |
| Full Name | Ubaldo a Miranda MD PA |
|---|---|
| Speciality | General Practice |
| Location | 3218 Hillsdale Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Ubaldo a Miranda (PRESIDENT) |
| Authorized Official Contact | 7862413749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubaldo a Miranda MD PA 3218 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 350-3525 | Ubaldo a Miranda MD PA 3218 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 350-3525 |
| NPI Number | 1750966149 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 5799150348 |
|---|---|
| Medicare Enrollment ID | O20230412001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750966149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Ubaldo a Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366916231 PECOS PAC ID: 4183817919 Enrollment ID: I20201013002334 |
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