Miranda S Terres, PA
Physician Assistant in Naples, FL. Individual provider (NPI-1).
NPI number1114521069
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1114521069
- Entity type
- Individual (NPI-1)
- Name
- Miranda S Terres
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2020
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9113619 | FL | Yes |
Other names
- Miranda S Moore (Former Name)
Practice location
6376 Pine Ridge Rd Unit 180Naples, FL 34119-3926
Phone 239-263-0849 · Fax 239-263-2376
Mailing address
6376 Pine Ridge Rd Unit 180Naples, FL 34119-3926
Phone 239-263-0849 · Fax 239-263-2376
Other practice locations
730 Goodlette Rd Ste 100
Naples, FL 34102-5617
Naples, FL 34102-5617
Phone 239-682-6603 · Fax 239-263-2014
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