Individual
KELVIN ALEXIS MOQUETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
7550 FUTURES DR STE 105, ORLANDO, FL 32819-9096
(407) 730-7983
Mailing address
2972 BOATING BLVD, KISSIMMEE, FL 34746-4540
(347) 362-5512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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