Individual
MS. CAROLINA ISABEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6961
Mailing address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-4029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ5826
FL
Other
Enumeration date
06/05/2012
Last updated
06/23/2017
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