Individual
FRANK MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
11401 SW 53RD TER, MIAMI, FL 33165-6805
(813) 652-2319
Mailing address
11401 SW 53RD TER, MIAMI, FL 33165-6805
(813) 652-2319
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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