Individual
ELIAS MOISES MORON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E 25TH ST, HIALEAH, FL 33013-3817
(305) 694-5400
Mailing address
18627 SW 15TH ST, PEMBROKE PINES, FL 33029-6125
(954) 636-9210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2017
Last updated
03/17/2018
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