MAX MIRANDA

Physician Assistant

Active Individual
NPI: 1639044050

Practice Address

2115 CRYSTAL GROVE DR
Lakeland, FL 33801

Phone: (863) 688-2334

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1639044050 is the National Provider Identifier for MAX MIRANDA, a Physician Assistant provider located in Lakeland, FL. This NPI was enumerated on October 7, 2025.
MAX MIRANDA practices at 2115 CRYSTAL GROVE DR, Lakeland, FL 33801.

Quick Facts

NPI
1639044050
Type
Individual
Enumerated
Oct 7, 2025
Last Updated
Feb 3, 2026

Nearby Providers