Individual
DOMINIQUE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617-2300
(251) 471-7000
Mailing address
2681 SHILOH WAY, TALLAHASSEE, FL 32308-9409
(850) 459-0607
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DO.2722
AL
2084P0800X
Psychiatry Physician
Primary
OS22548
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/31/2020
Last updated
10/15/2025
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