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Contact Information

JACK WILLIAMS PEREZ MIRANDA, RN
5991 SW 76TH ST APT A4
SOUTH MIAMI, FL33143-5130
 Phone: 786-587-8479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Nursing Home Administrator

376G00000X
Indicates primary specialty

NPI Profile & details for JACK WILLIAMS PEREZ MIRANDA · (Male)

NPI Number 1841053923
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/01/2024
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # RN9638337
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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