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Individual

IRENE MORIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2100
Mailing address
1825 KINGSLEY AVE STE 390, ORANGE PARK, FL 32073-4484
(904) 639-2260

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13389
WI
207V00000X
Obstetrics & Gynecology Physician
C1-0028447
DE
207V00000X
Obstetrics & Gynecology Physician
MD210001941
DC
207V00000X
Obstetrics & Gynecology Physician
ME161977
FL
207V00000X
Obstetrics & Gynecology Physician
T4559
TX
207V00000X
Obstetrics & Gynecology Physician
T4559
WA
207VX0000X
Obstetrics Physician
MD489965C
PA

Other

Enumeration date
04/04/2017
Last updated
09/03/2025
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