Organization
MONICA MORENO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA MORENO M.D (DOCTOR)
(305) 299-8153
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1015
(305) 299-8153
Mailing address
360 SW 190TH AVE, PEMBROKE PINES, FL 33029-5442
(305) 299-8153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME96209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96209
MEDICAL LICENSE
FL
Enumeration date
08/23/2010
Last updated
08/23/2010
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