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1043223399
ISMAEL MIRANDA
MIAMI, FL
NPI
1043223399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT1492)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mr. ISMAEL MIRANDA OTR/L
1611 NW 12TH AVE # R-143
MIAMI, FL 33136-1005
Phone number: 305-585-7224
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Mailing Address
Mr. ISMAEL MIRANDA OTR/L
450 NE 115TH ST
MIAMI, FL 33161-6660
Phone number: 305-891-6297
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