Individual
DR. CATHERINE ANDREA MOYA KRUMENACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, PH.D.
Contact information
Practice address
1101 NW 1ST ST, FORT LAUDERDALE, FL 33311-8905
(954) 761-1020
(954) 761-9983
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 761-1020
(954) 761-9983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01076704A
IN
207Q00000X
Family Medicine Physician
89609
SC
207Q00000X
Family Medicine Physician
Primary
ME168015
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123885100
—
FL
05
—
201176810
—
IN
Enumeration date
04/26/2013
Last updated
11/15/2024
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