CLETUS TANWI MOMA

JACKSONVILLE, FL
NPI1982998373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  TRN16006)
Enumeration Date2011-06-03
Last Update Date2011-09-20
Business Address
-- CLETUS TANWI MOMA MD
4500 SAN PABLO RD S PROVIDER ENROLLMENT
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
-- CLETUS TANWI MOMA MD
4500 SAN PABLO RD S PROVIDER ENROLLMENT
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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