Organization
MOISES DOBARGANES ARNP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES DOBARGANES APRN (PRESIDENT)
(386) 585-4556
Entity
Organization
Contact information
Practice address
4883 PALM COAST PKWY NW UNIT 1, PALM COAST, FL 32137-3675
(386) 585-4556
(386) 585-4529
Mailing address
4883 PALM COAST PKWY NW UNIT 1, PALM COAST, FL 32137-3675
(386) 585-4556
(386) 585-4529
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010602200
—
FL
05
—
015501800
—
FL
Enumeration date
03/16/2015
Last updated
08/22/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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