Individual
SUZEL MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
Mailing address
7429 OAKVISTA CIR, TAMPA, FL 33634-2957
(813) 810-1573
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11270900
—
FL
Enumeration date
07/30/2021
Last updated
10/09/2025
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