Individual
ALAN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10311 NW 11TH ST, PLANTATION, FL 33322-6577
(954) 882-6842
Mailing address
10311 NW 11TH ST, PLANTATION, FL 33322-6577
(954) 882-6842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42497
FL
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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