Individual
CESAR MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6840 SW 40TH ST STE 210, MIAMI, FL 33155-3756
(305) 599-0911
Mailing address
89 NE 59TH ST, MIAMI, FL 33137-2003
(786) 781-8457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
31966
FL
Other
Enumeration date
05/16/2022
Last updated
06/24/2022
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