Individual
DEREK S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 CORAL WAY FL 2, MIAMI, FL 33145-2601
(786) 235-8030
Mailing address
3500 CORAL WAY APT 506, MIAMI, FL 33145-3064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11178
FL
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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