Mirasan, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MIRASAN, LLC

Practice address

2131 Mallard Creek Cir
Kissimmee, FL 34743-3523

Phone

(407) 530-5805

Fax

(407) 530-5805

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Vicky Landron

Title

President

Phone

(321) 960-2103

Specialties & licenses 1

Addresses

Other names 1

• Mirasan, LLC Former legal business name

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1891309472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 MALLARD CREEK CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347433523",
            "telephone_number": "407-530-5805",
            "fax_number": "407-530-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 MALLARD CREEK CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347433523",
            "telephone_number": "407-530-5805",
            "fax_number": "407-530-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRASAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "LANDRON",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-960-2103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirasan, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Myrna I Miranda
• Selena Miranda, PA-C
• Ubaldo A Miranda
• Whitney Roberson Miranda, O.D.
• Joseph S Miranti
• Fariha Nehreen Mirza
• Norbert Leo Misch Jr., D.M.D.
• Elaine Mad Mitchell
• Maria P Mitchell
• Shahnaz Mitha

• Occupational Therapist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.