Individual
MR. DAVID MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 596-9095
(352) 578-1032
Mailing address
12142 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 596-9095
(352) 578-1032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83919
FL
Other
Enumeration date
08/02/2006
Last updated
04/16/2021
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