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MIRANDAHEALTH MEDICAL CENTER, LLC
NPI 1780447631
Nurse Practitioner - Family in Orlando, FL

Active since February 02, 2024
1722 WHITE HERON BAY CIRCLE, ORLANDO, FL 32824(209) 456-4323(866) 670-0132 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mirandahealth Medical Center, Llc NPPES

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

MIRANDAHEALTH MEDICAL CENTER, LLC (NPI 1780447631) is a healthcare organization registered as a family in Orlando, Florida and active in the NPI registry since February 2024. The organization lists Raydel Miranda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780447631
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMIRANDAHEALTH MEDICAL CENTER, LLC
Location Address1722 WHITE HERON BAY CIRCLEOrlando, FL 32824
Mailing Address255 S Orange Ave Ste 104Orlando, FL 32801-3411 · (209) 456-4323 · Fax (866) 670-0132
Phone(209) 456-4323
Fax(866) 670-0132
Organization SubpartNo
Authorized OfficialRaydel MirandaCeo · (209) 456-4323
Enumeration DateFebruary 2, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1780447631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1722 WHITE HERON BAY CIRCLE, Orlando, FL 32824
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mirandahealth Medical Center, LLC's NPI number?

The NPI number for Mirandahealth Medical Center, LLC is 1780447631. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Mirandahealth Medical Center, LLC located?

Mirandahealth Medical Center, LLC is located at 1722 White Heron Bay Circle, Orlando, FL 32824. The listed phone number is (209) 456-4323.

What is Mirandahealth Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mirandahealth Medical Center, LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.