SALOMON LEVY MIRANDA (NPI# 1164665055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164665055 |
| Entity Type | Individual |
| Full Name | SALOMON LEVY MIRANDA |
| Credential | MD |
| Practice Address |
8380 Riverwalk Park Blvd Ste 100 Fort Myers FL 33919 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439960 |
| Practice Fax Number | 2393439977 |
| Mailing Telephone | 2393439960 |
| Mailing Fax Number | 2393439977 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME140310 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102855700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 319 Canyon Ridge Dr, Richardson, TX 750801902 | 7862187071 |
| Street Address |
8380 RIVERWALK PARK BLVD STE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205804515 | Wendy Sue Suckow | Physician Assistant | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 | 2006-03-11 |
| 1477187169 | Alexandra Rae Phelps | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2020-03-03 |
| 1245626589 | Jessica Groton | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2015-04-14 |
| 1821484619 | Carlos Andres Bustamante | Student in an Organized Health Care Education/Training Program | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2015-04-08 |
| 1417209842 | Stuart Paasche | Physician Assistant | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 | 2012-10-09 |
| 1326247768 | Charles Christopher Boggs | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1891036810 | Genesiscare Usa of Florida LLC | Surgery | 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 | 2013-03-15 |
| 1780967430 | Surgical Healing Arts Center, LLC | Surgery | 6150 Diamond Centre Court, Suite 1301, Fort Myers, FL 33912 | 2011-09-20 |
| 1649413907 | Bart Stanley Cuderman | Surgery | 14640 Double Eagle Ct, Fort Myers, FL 33912-1716 | 2009-04-15 |
| 1780835959 | Surgical Consultants of Southwest Florida, LLC | Surgery | 4519 Tilton Ct, Fort Myers, FL 33907-1214 | 2008-10-07 |
| 1912161670 | Brian D Kurland M D P A | Surgery | 13782 Plantation Rd Ste 103, Fort Myers, FL 33912 | 2008-07-11 |
| 1740490002 | Bruce Cleaveland Bacon | Surgery | 6932 Old Whiskey Creek Dr, Fort Myers, FL 33919-1827 | 2007-05-23 |
| 1346468170 | Claude P Lieber | Surgery | 482 Keenan Ct, Fort Myers, FL 33919-3110 | 2007-04-24 |
| 1588782585 | Gilbert Abou Lahoud | Surgery | 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912 | 2007-03-27 |
| 1760580054 | David T Rideout | Surgery | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2006-09-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.