Individual
JESSICA MOREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
475 BILTMORE WAY STE 204, CORAL GABLES, FL 33134-5736
(305) 964-7392
Mailing address
14750 SW 151ST AVE, MIAMI, FL 33196-2364
(305) 338-0052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11020811
FL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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