Individual
TOMAS ALEJANDRO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 997-9202
(904) 997-9205
Mailing address
8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 32216-6347
(904) 997-9202
(904) 997-9205
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME139693
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME139693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217747A
—
GA
05
—
102472300
—
FL
Enumeration date
04/05/2013
Last updated
04/19/2023
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