Individual
JORGE OSCAR DE MOYA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 CORAL WAY, SUITE 203, MIAMI, FL 33155-2305
(305) 265-9686
(305) 269-7933
Mailing address
8415 CORAL WAY, SUITE 203, MIAMI, FL 33155-2305
(305) 265-9686
(305) 269-7933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064332700
—
FL
Enumeration date
08/16/2005
Last updated
06/11/2008
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