Individual
EDMUNDO MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8511
Mailing address
8290 GATE PKWY W, UNIT 1104, JACKSONVILLE, FL 32216-3624
(904) 412-8060
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT50964
FL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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