UBALDO A MIRANDA (NPI# 1366916231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366916231 |
| Entity Type | Individual |
| Full Name | UBALDO A MIRANDA |
| Other Name | UBALDO A MIRANDA |
| Practice Address |
3880 Coconut Creek Pkwy Ste 100 Coconut Creek FL 33066-1643 |
| Mailing Address |
Po Box 398911 Miami Beach FL 33239-8911 |
| Practice Telephone | 7862413749 |
| Mailing Telephone | 7862413749 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | HSE27900 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME147214 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 108267400 | 05 |
| Street Address |
3880 COCONUT CREEK PKWY STE 100 |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33066-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083707202 | Coconut Creek Physicians P L | Dermatology | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1652 | 2006-10-02 |
| 1073114211 | Lifecare Specialty Clinics Inc | Family Medicine | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2020-11-04 |
| 1447728852 | Jorge Gonzalez-barrera, N.p., P.a. | Clinic/Center | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2018-11-05 |
| 1588102701 | Airport Medical Solutions Orlando LLC | Clinic/Center | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740636992 | Highbridge Care Homewood LLC | Home Health | 3880 Coconut Creek Parkway, Suite 202, Coconut Creek, FL 33066 | 2016-05-06 |
| 1568708873 | Amelia Hernandez | Technician, Other | 2899 Carambola Cir S, Coconut Creek, FL 33066 | 2012-12-14 |
| 1265606537 | Medcap Investment Group LLC | Pharmacy | 1001 Wynmoor Circle, Coconut Creek, FL 33066 | 2008-04-17 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1891392098 | Brittany D Knight | Behavior Technician | 3720 Coconut Creek Pkwy Ste D, Coconut Creek, FL 33066 | 2020-10-01 |
| 1992819767 | Michael P Angelillo | Internal Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1326152190 | Stephen W White | Family Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1720220775 | Focus On Health Rx LLC | Durable Medical Equipment & Medical Supplies | 1001 Wynmoor Circle, Coconut Creek, FL 33066-0000 | 2009-04-06 |
| 1306372156 | Wiiliam Aldrich | Behavior Technician | 2201 Lucaya Bnd, M1, Coconut Creek, FL 33066-1154 | 2017-05-11 |
| 1104485242 | Paul C Kopp | Assisted Living Facility | 3201 Portofino Pt Apt M2, Coconut Creek, FL 33066-1241 | 2019-06-12 |
| Find all providers in zip 33066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538155262 | Complete Local Specialty Care, Inc | Family Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2005-09-27 |
| 1023010006 | Gary Alan Cooperstein | Family Medicine | Coconut Creek Plaza, 4450 Fl-7 #1, Coconut Creek, FL 33073-3382 | 2005-08-10 |
| 1073114211 | Lifecare Specialty Clinics Inc | Family Medicine | 3880 Coconut Creek Pkwy Ste 100, Coconut Creek, FL 33066-1643 | 2020-11-04 |
| 1376186437 | Anissa Rodriguez | Family Medicine | 5300 W Hillsboro Blvd, Coconut Creek, FL 33073-4395 | 2019-10-22 |
| 1285107250 | Mcci Group Holdings LLC | Family Medicine | 1301 Lyons Rd, Coconut Creek, FL 33063-3900 | 2019-01-02 |
| 1194175471 | Physicians Choice Group, Inc. | Family Medicine | 5489 Wiles Rd, Suite 302, Coconut Creek, FL 33073-4220 | 2016-06-16 |
| 1841688462 | Etelmed Md Network | Family Medicine | 5489 Wiles Rd, Suite 302, Coconut Creek, FL 33073-4220 | 2015-01-05 |
| 1801157680 | Maria Paula Martinez Munevar | Family Medicine | 1301 Lyons Rd, Coconut Creek, FL 33063-3900 | 2012-06-07 |
| 1346401338 | North Broward Hospital District | Family Medicine | 4800 W Hillsboro Blvd, Suite A6, Coconut Creek, FL 33073-4330 | 2008-06-23 |
| 1669669578 | Carolyn Maldonado-garcia | Family Medicine | 5355 Lyons Rd, Coconut Creek, FL 33073-2825 | 2007-09-25 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33066 |
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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.