Individual
MRS. MORENO TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 N.W. 33RD AVENUE, FORT LAUDERDALE, FL 33309-2850
(954) 777-1330
Mailing address
5420 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6348
(954) 777-1421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2038692
FL
Other
Enumeration date
08/02/2011
Last updated
10/10/2016
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