Organization
COMPREHENSIVE TRAUMA AND TRAUMA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLPH MOISE D.O. (PRESIDENT CEO)
(305) 688-4178
Entity
Organization
Contact information
Practice address
671 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 688-4178
Mailing address
671 NW 119TH ST, NORTH MIAMI, FL 33168-2522
(305) 688-4178
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS4440
DO
FL
Enumeration date
04/06/2016
Last updated
07/21/2022
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