Individual
MOISES K FENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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