1437870870 NPI number — MIRANDA HEALING GROUP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437870870 NPI number — MIRANDA HEALING GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIRANDA HEALING GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437870870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4885 NW 94TH TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNRISE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33351-5149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-820-5422
Provider Business Mailing Address Fax Number:
954-278-8506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7301 N UNIVERSITY DR STE 209
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMARAC
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33321-2935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-840-8583
Provider Business Practice Location Address Fax Number:
954-278-8506
Provider Enumeration Date:
09/05/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JIMENEZ
Authorized Official First Name:
NADIA
Authorized Official Middle Name:
MARIA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
201-820-5422

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)