Individual
RAFAEL MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(407) 437-9893
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4151
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/21/2021
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