Provider Demographics
NPI:1093073454
Name:MIRANDA MEDINA, KARLA FRANCHESKA (MD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:FRANCHESKA
Last Name:MIRANDA MEDINA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:10085 US HIGHWAY 19 STE GTE
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3742
Practice Address - Country:US
Practice Address - Phone:727-810-8062
Practice Address - Fax:727-810-8064
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2024-06-18
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Provider Licenses
StateLicense IDTaxonomies
NE27872208D00000X
FLME136388208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice