Individual
CARLOS A MORAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15955 SW 96TH ST STE 102, MIAMI, FL 33196-1272
(305) 271-9777
(786) 533-9383
Mailing address
1048 SW 124TH AVE, MIAMI, FL 33184-2465
(786) 307-7875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11002480
FL
Other
Enumeration date
09/10/2010
Last updated
10/14/2024
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