Individual
MANUEL F MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
9600 SW 8TH ST STE 21, MIAMI, FL 33174-2968
(305) 804-1719
Mailing address
9600 SW 8TH ST STE 21, MIAMI, FL 33174-2968
(305) 804-1719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA42951
FL
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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