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1063025468
CARLOS FEDERICO MORAL ORTEGA
MIAMI, FL
NPI
1063025468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL 31723)
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
CARLOS FEDERICO MORAL ORTEGA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1096
Phone number: 305-585-5437
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Mailing Address
CARLOS FEDERICO MORAL ORTEGA MD
1611 NW 12TH AVE
MIAMI, FL 33136-1096
Phone number: 305-585-6042
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