DR. Luis Antonio Moreno, MD

NPI #1538372958 in Edgewater, Florida

Provider Information

NPI Number: 1538372958
Entity Type: Individual
Name: DR. Luis Antonio Moreno, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: May 8, 2007
Last Updated: Nov 16, 2021

Practice Location

Address: 2984 S RIDGEWOOD AVE STE 1
City: Edgewater
State: Florida
ZIP Code: 32141-7515
Phone: (386) 428-4640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
General Practice	208D00000X	Primary

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