Ibelith Miranda-Moreno in Daytona Beach - General Practice
Ibelith Miranda-Moreno - NPI 1477575207
Ibelith Miranda-Moreno is a General Practice in Daytona Beach, Florida. Ibelith Miranda-Moreno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ibelith Miranda-Moreno is 1477575207. The last update date is 2022-11-09.
Ibelith Miranda-Moreno's current location address is 2595 W International Speedway Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3056498100. The mailing address for Ibelith Miranda-Moreno is 2595 W International Speedway Blvd, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ibelith Miranda-Moreno |
|---|---|
| Address | 2595 W International Speedway Blvd, Daytona Beach, Florida |
| Phone Number | 3056498100 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477575207 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2022-11-09 |
Provider Mailing Address Detail
| Address | 2595 W International Speedway Blvd |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321141118 |
| Phone Number | 3056498100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 16169 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112495900 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ibelith Miranda-Moreno by the Centers for Medicare & Medicaid Services?
The Ibelith Miranda-Moreno has been issued the NPI (National Provider Identifier) 1477575207. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ibelith Miranda-Moreno is physically located?
The Ibelith Miranda-Moreno is situated at the following address: 2595 W International Speedway Blvd, Daytona Beach, FL 321141118.
What is the Ibelith Miranda-Moreno's area of specialization and corresponding taxonomy classification?
The Ibelith Miranda-Moreno's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
When was the Ibelith Miranda-Moreno's 1477575207 issued?
The Ibelith Miranda-Moreno's 1477575207 was issued on 2006-07-24.
As of what date was the information regarding Ibelith Miranda-Moreno, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ibelith Miranda-Moreno, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-09.