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THIAGO ASSIS MOULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-7588
Mailing address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-7588

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME168188
FL

Other

Enumeration date
06/18/2020
Last updated
12/09/2025
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