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DR. MANUEL ANTHONY MOUTINHO IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136
(860) 837-3018
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 837-3018

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
55646
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/20/2011
Last updated
11/02/2021
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