Maria Del Mar Colon Miranda, MD | |
970 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1766 | |
(772) 249-1501 | |
Not Available |
Full Name | Maria Del Mar Colon Miranda |
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Gender | Female |
Speciality | General Practice |
Location | 970 Sw Saint Lucie West Blvd, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831754555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN1347 (Florida) | Primary |
Entity Name | Medical Home Alliance, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Entity Name | Guidewell Sanitas I, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
Mailing Address | Practice Location Address |
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Maria Del Mar Colon Miranda, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (813) 444-5838 | Maria Del Mar Colon Miranda, MD 970 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1766 Ph: (772) 249-1501 |
Regine Dorvil, MD General Practice Medicare: Medicare Enrolled Practice Location: 671 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-353-5716 Fax: 844-367-0091 | |
Debbie Michelle Sevilla, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983 Phone: 772-905-2555 Fax: 772-336-8153 | |
Dr. Jean-marie G Eugene, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215 | |
Dr. John R Collins, D.O, General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Brittany Nobilette, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Dr. Chacko Nebu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7025 Oleander Ave, Port St Lucie, FL 34952 Phone: 609-744-4133 Fax: 772-882-5166 | |
Dr. Brenda Hernandez Reyes, General Practice Medicare: Accepting Medicare Assignments Practice Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983 Phone: 772-905-2555 |