Individual
GEINY YOEL GARDONA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1022 E 8TH AVE, HIALEAH, FL 33010-3755
(786) 615-7829
Mailing address
4850 W FLAGLER ST APT 6, CORAL GABLES, FL 33134-1476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10477
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113048300
—
FL
Enumeration date
11/22/2021
Last updated
04/06/2022
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