Individual
CARLOS HERNANDO MORENO CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FASN
Contact information
Practice address
201 N PARK AVE STE 206, APOPKA, FL 32703-4147
(407) 515-2290
(407) 309-5457
Mailing address
807 S ORLANDO AVE STE C, WINTER PARK, FL 32789-4870
(407) 515-2211
(407) 309-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A152634
CA
207RN0300X
Nephrology Physician
A152634
CA
207RN0300X
Nephrology Physician
Primary
ME149425
FL
Other
Enumeration date
07/25/2014
Last updated
05/10/2022
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