Individual
YOAN DANIEL MOGENA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
10600 SW 135TH CT, MIAMI, FL 33186-3367
(321) 387-3478
Mailing address
10600 SW 135TH CT, MIAMI, FL 33186-3367
(321) 387-3478
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-710
FL
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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