Individual
DAGOBERTO JESUS MORALES OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
15700 NW 67TH AVE STE 101, MIAMI LAKES, FL 33014-2112
(305) 621-8051
Mailing address
1165 NW 135TH CT, MIAMI, FL 33182-2615
(786) 547-8394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11022010
FL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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