Michael David Mirmanesh, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA10070800 Issued in NJ

Practice address

6650 78TH Ave N
Pinellas Park, FL 33781-2053

Phone

(727) 610-5335

Fax

(727) 610-5335

NPI assigned

May 16, 2014

Last updated

May 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1558772186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 78TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812053",
            "telephone_number": "727-610-5335",
            "fax_number": "727-610-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 78TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812053",
            "telephone_number": "727-610-5335",
            "fax_number": "727-610-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRMANESH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA10070800",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "141171",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD466542",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DE",
            "license": "C1-0013021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Miller, M.D.
• Sheila Miller, MS, OTR/L
• Theresa Miller
• Kinjal Patel Millette, M.D.
• Frencis Miranda
• Stephanie Mitchell, B.A
• Rachel A Mitnick
• Bruce Marty Mizener, B.A.
• Marjorie Mizener
• Katherine E Mkparu

• Plastic Surgery Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.