Individual
MALACHI MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 N PINEWOOD AVE, BRANDON, FL 33510-4633
(656) 251-2353
Mailing address
124 N PINEWOOD AVE, BRANDON, FL 33510-4633
(656) 251-2353
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
241636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-2417319
SUNBIZ
FL
Enumeration date
07/14/2026
Last updated
07/14/2026
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