Individual
ANNIA ARNAIZ MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3176 S UNIVERSITY DR, MIRAMAR, FL 33025-3002
(786) 704-1564
(754) 210-6921
Mailing address
3176 S UNIVERSITY DR, MIRAMAR, FL 33025-3002
(786) 704-1564
(754) 210-6921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHCMS101065
—
FL
Enumeration date
10/09/2018
Last updated
06/14/2021
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