Individual
CANDIDO AVILA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBHCM.0108251
Contact information
Practice address
4215 SW 72ND AVE, MIAMI, FL 33155-4510
(305) 377-3297
(305) 377-3854
Mailing address
12049 SW 14TH ST, PEMBROKE PINES, FL 33025-3746
(754) 610-0941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0108251
FL
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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