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1811569064
JOSE MANUEL MORALES LOPEZ
TAMPA, FL
NPI
1811569064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11014288)
Enumeration Date
2021-07-15
Last Update Date
2021-10-05
Business Address
JOSE MANUEL MORALES LOPEZ ARNP
6607 N DALE MABRY HWY
TAMPA, FL 33614-3985
Phone number: 813-499-1500
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Mailing Address
JOSE MANUEL MORALES LOPEZ ARNP
6821 SOUTHPOINT DR N STE 107
JACKSONVILLE, FL 32216-8026
Phone number: 866-372-0308
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