Dr. Dennis Julio Moya Nicolatos, MD
Student in an Organized Health Care Education/Training Program in Brandon, FL. Individual provider (NPI-1).
NPI number1013710185
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1013710185
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dennis Julio Moya Nicolatos
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
119 Oakfield DrBrandon, FL 33511-5779
Phone 813-421-4663
Mailing address
119 Oakfield DrBrandon, FL 33511-5779
Phone 813-421-4663
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