person
Crystal Young Miranda, PA
Surgical Physician Assistant in Celebration, Florida
NPI 1851627178

Crystal Young Miranda is a Surgical Physician Assistant based in Celebration, FL and is specialized in Surgical. Crystal Young Miranda practices in Celebration, FL and has the professional credentials of PA. The NPI Number for Crystal Young Miranda is 1851627178 and holds a License No. PA9105266 (Florida).

The current practice location address for Crystal Young Miranda is 400 Celebration Pl, Celebration, FL and can be reached out via phone at 407-303-4000.

Location: 400 Celebration Pl, Celebration, FL, 34747-4970
person
Provider Profile Details
NPI Number
1851627178
Provider Name
Crystal Young Miranda
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
400 Celebration Pl, Celebration, FL, 34747-4970
Phone Number
407-303-4000
Fax Number
Provider Enumeration Date
10/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01270603 01 FL RR MEDICARE
001550100 05 FL
institution
Provider Business Practice Location Address Details
Address
400 Celebration Pl
City
State
Zip
34747-4970
Phone Number
407-303-4000
Fax Number
person
Provider Business Mailing Address Details
Address
400 Celebration Pl
City
State
Zip
34747-4970
Phone Number
407-303-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9105266 (Florida)
Definition
Definition to come...
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