Individual
MASIEL MOREIRA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1690 SW 69TH AVE, MIAMI, FL 33155-1743
(786) 515-3156
Mailing address
1690 SW 69TH AVE, MIAMI, FL 33155-1743
(305) 995-0152
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-307
FL
Other
Enumeration date
04/30/2015
Last updated
04/04/2022
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