Individual
MR. MIRATUS LOUIS MOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5258 LINTON BLVD # G1, DELRAY BEACH, FL 33484-6540
(561) 330-4695
(561) 330-4696
Mailing address
6326 HARBOUR OAK DR, LAKE WORTH, FL 33467-6840
(239) 641-2050
(561) 330-4696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9251699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9251699
FLORIDA BOARD OF NURSING
FL
Enumeration date
11/14/2013
Last updated
11/14/2013
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