Individual
MRS. GENESIS TANAIDI MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10521 N KENDALL DR STE E103, MIAMI, FL 33176-1554
(305) 279-2212
Mailing address
9980 SW 14TH TER, MIAMI, FL 33174-2862
(786) 334-8170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5682
FL
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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