| Doctor Name: | MRS. AZALIA MIRANDA |
| NPI Number: | 1881646529 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT22305 |
| Business Practice Address: | 2990 Us Highway 301 N Ellenton, FL - 342222008 |
| Business Phone Number: | 9417211854 |
| Business Fax Number: | 9417211859 |
| Mailing Address: | Po Box 15310, SARASOTA |
| State: | FL |
| Postal Code: | 342771310 |
| Phone Number: | 9417491734 |
| Fax Number: | 9417491736 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 12/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT22305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |