Individual
HENRY MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4711 SW 143RD CT, MIAMI, FL 33175-6894
(305) 345-2080
(305) 200-0161
Mailing address
4711 SW 143RD CT, MIAMI, FL 33175-6894
(305) 345-2080
(305) 200-0161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9277744
FL
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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