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Altagracia
Altagracia
Miranda
Medical doctor
Co-owner
Miami Beach, United States
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Florida Board of Medicine
Board Name
BOARD OF MEDICINE
Full name
Altagracia Miranda
Job Title
Medical Doctor
Qualifications
Dispensing Practitioner
License Number
ME87277
License Status
Clear/Active
License Issue Date
25/03/2003
License Expiry Date
31/01/2025
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
ALTAGRACIA MIRANDA
Job Title
Medical Doctor
Location
Miami Beach, FL, USA
Title
MD
LIC ID
83376
Current License Expiration Date
31/01/2025
Original Date
25/03/2003
Professional Rank Code
ME
Effective Date
25/03/2003
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MIAMI-DADE
Mailing Address Line 2
Suite: 200
Practice Location Address Line 1
1000 5TH STREET STE 200
Practice Location Address City
MIAMI BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
33139
Mode Code
Dispensing Practitioner
Prescribing Indicator
Y
Dispensing Indicator
Y
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