Individual
DR. WILMER MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157623
FL
207V00000X
Obstetrics & Gynecology Physician
P9913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114608000
—
FL
Enumeration date
05/01/2012
Last updated
11/19/2024
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