Individual
PABLO A RENGIFO-MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 SE 3RD AVE STE 620, FORT LAUDERDALE, FL 33316-2521
(954) 788-5000
(954) 888-3505
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 788-5000
(954) 888-3505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AS 4148501 E-64
MA
207RC0000X
Cardiovascular Disease Physician
076669
GA
207RI0011X
Interventional Cardiology Physician
Primary
ME138838
FL
Other
Enumeration date
06/09/2008
Last updated
10/20/2025
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