Individual Healthcare Provider
Miranda Kavita Persaud, PA-C
Provider's NPPES record last updated: July 12, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1619601671
- Primary Specialty
- Pain Medicine — Pain Medicine
- Practice Location
- New Smyrna Beach, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 12:57 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pain Medicine
Pain Medicine
Allopathic & Osteopathic Physicians
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Taxonomy code 208VP0000X Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Pain Medicine (Florida)
- PA9115776
- Physician Assistant (Florida)
- PA9115776
Practice Locations
Practice Location
Po Box 1268
New Smyrna Beach, Florida 32170-1268
Phone: (386) 259-8803
Additional Practice Location
6710 Collins Rd Apt 2509
Jacksonville, Florida 32244-5888
Phone: (754) 422-6886
Additional Practice Location
3750 San Jose Pl Ste 35
Jacksonville, Florida 32257-8861
Phone: (904) 902-4126
Fax: (904) 902-3926
Record Information
- Enumeration Date
- July 14, 2022
- Provider's NPPES Record Last Updated
- July 12, 2024
- Certification Date
- July 12, 2024
- NPISignal NPPES Dataset
- August 2026
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