Provider Information for 1275083214
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Dr. ISIBEL CRISTIMAR MORENO PhD
Sex: Female
NPI: 1275083214
Last Updated: 2019-05-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1275083214 | ||||||||||||
| Enumeration Date | 2016-10-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 292901 DAVIE, FL 33329-2901 United States Phone: 954-815-8036 | Fax: | ||||||||||||
| Primary Practice Address | 1000 N HIATUS RD PEMBROKE PINES, FL 33026-3097 United States Phone: 954-431-7676 | Fax: | ||||||||||||
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