Individual
DR. ELIAS MORENO MANDUJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2140 CENTERVILLE RD, TALLAHASSEE, FL 32308-4314
(850) 383-3339
Mailing address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS20619
FL
Other
Enumeration date
06/13/2022
Last updated
07/28/2025
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