Individual
JOSHUA THEODORE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E LAKE MARY BLVD STE 3, SANFORD, FL 32773-7111
(417) 203-9492
Mailing address
12084 LAKE CYPRESS CIR APT 308, ORLANDO, FL 32828-7057
(561) 706-8908
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4700
FL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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