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Individual

MR. LUIS ENRIQUE AVILA MORENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SURGICAL ASSISTANT

Contact information

Practice address
2140 W 68TH ST STE 200, HIALEAH, FL 33016-1815
(305) 822-7227
(305) 827-6333
Mailing address
1870 MARINERS LN, WESTON, FL 33327-1334
(786) 461-4428

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
20-527
FL

Other

Enumeration date
03/03/2023
Last updated
03/03/2023
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