Organization
COLLABORATIVE CARDIOVASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIBERTO MORENO MD (OWNER)
(305) 662-5200
Entity
Organization
Contact information
Practice address
11220 SW 74TH CT, MIAMI, FL 33156-4520
(305) 662-5200
Mailing address
11220 SW 74TH CT, MIAMI, FL 33156-4520
(305) 662-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME105336
FL
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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