Individual
EZEQUIEL DANIEL MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CMMP
Contact information
Practice address
7832 SILVERTREE TRL, ORLANDO, FL 32822-9010
(321) 444-8609
Mailing address
7832 SILVERTREE TRL APT 203, ORLANDO, FL 32822-9010
(321) 444-8609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98212
FL
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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