Individual
MRS. SONALEE MOCTEZUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 E EUCLID AVE, TAMPA, FL 33602-1406
(813) 225-7247
Mailing address
104 E EUCLID AVE, TAMPA, FL 33602-1406
(813) 225-7247
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692515496
—
FL
05
—
692515498
—
FL
Enumeration date
08/28/2008
Last updated
08/28/2008
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