1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MIRANDA EUBANK MD
NPI 1407425143
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since June 17, 2021PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-8017 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miranda Eubank Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA EUBANK MD (NPI 1407425143) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1407425143
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIRANDA EUBANKCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address5025 Sw 91st Ct # H304Gainesville, FL 32608-8179 · (502) 287-3379
Phone(352) 265-8017
Sole ProprietorNo
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1407425143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Secondary Practice Location 1

Location 11549 Gale Lemerand Dr Fl 3Gainesville, FL 32610-3008 · Phone (352) 265-8240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Eubank Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Eubank's NPI number?

The NPI number for Miranda Eubank is 1407425143. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Miranda Eubank located?

Miranda Eubank practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-8017.

What is Miranda Eubank's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Miranda Eubank enrolled in Medicare?

Yes. Miranda Eubank is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Eubank was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.