Individual
ELIAS MORA KUMBOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
10710 NW 66TH ST APT 202, DORAL, FL 33178-4552
(941) 374-6208
Mailing address
10710 NW 66TH ST APT 202, DORAL, FL 33178-4552
(941) 374-6208
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-469
FL
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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