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Individual

MICHAELA MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2750 JOHN PROM BLVD, JACKSONVILLE, FL 32246-3921
(774) 392-5429
Mailing address
14 FISHER RD, EAST FALMOUTH, MA 02536-7145
(774) 392-5429

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AL5424
FL

Other

Enumeration date
02/11/2019
Last updated
02/11/2019
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