Individual
WIN WIN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10960 DYLAN LOREN CIR, ORLANDO, FL 32825-4439
(407) 420-7952
(407) 420-7953
Mailing address
10960 DYLAN LOREN CIR, ORLANDO, FL 32825-4439
(407) 420-7952
(407) 420-7953
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME154137
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116352100
—
FL
01
—
QF573
MEDICARE PTAN
FL
Enumeration date
08/24/2015
Last updated
03/06/2023
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