Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME132930 | FL |
NPI | 1255627675 |
---|---|
Provider Name | Carolina Miranda Torres |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 15/03/2021 |