Individual
MIREYA ALEXANDRA MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 ANDROS RD, PALM SPRINGS, FL 33461-2915
(786) 333-2034
Mailing address
47 ANDROS RD, PALM SPRINGS, FL 33461-2915
(786) 333-2034
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
M221-541-78-839-0
FL
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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