Individual
MOODY DUBREUZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2453 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-3723
(954) 533-4846
Mailing address
PO BOX 5564, FORT LAUDERDALE, FL 33310-5564
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
HCC12481
FL
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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