Individual ProviderAshley Elizabeth MirandaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 858-7600PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Elizabeth Miranda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114151529Provider TypeIndividualFull NameMiranda, Ashley ElizabethTitleMrs.CredentialMPTGenderFemaleSole ProprietorYesEnumeration Date5/13/2009Last Updated5/13/2009Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 858-7600FaxUnlisted FaxMailing LocationMailing Address1141 Kendall Town Blvd Unit 5106, Jacksonville, FL 32225-7258Phone(904) 858-7600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT23785Florida