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NPISignal

Individual Healthcare Provider

Miranda Kavita Persaud, PA-C

NPI Record: ActivePain Medicine — Pain Medicine
NPI1619601671
New Smyrna Beach, Florida

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

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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