Individual
MS. TITFANNY THEREZA PUELLO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6700 PINE BLVD HOLLYWOOD, HOLLYWOOD, FL 33024
(786) 273-0802
Mailing address
6700 PINE BLVD HOLLYWOOD, HOLLYWOOD, FL 33024
(786) 273-0802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9570783
FL
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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