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
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