Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fabiola Miranda

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275112609

Fabiola Miranda is an Internal Medicine in St Petersburg, Florida. Qualified in 2021, 5 years ago. Practices with Professional Health Care of Pinellas, LLC, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New Mexico.

Years since qualifying
5
Licensed in
FL, NM
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-9089
Phone: (727) 322-1054
Fax: (727) 322-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Msc10 5580 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-2321

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME177470 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1275112609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2021
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Professional Health Care Of Pinellas, Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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