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Individual

DR. ADALGIZA E COSTA MORON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 S PINE ISLAND RD, PLANTATION, FL 33324-4413
(877) 570-9359
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
(304) 927-6837

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25563
WV
207R00000X
Internal Medicine Physician
Primary
ME108422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003276600
FL
Enumeration date
06/21/2010
Last updated
05/01/2026
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