Miratus Louis Moline, ARNP
Nurse Practitioner, Adult Health in Delray Beach, FL. Individual provider (NPI-1).
NPI number1124458963
StatusActive
Last updated in NPPESNov 14, 2013
Details
- NPI
- 1124458963
- Entity type
- Individual (NPI-1)
- Name
- Mr. Miratus Louis Moline
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2013
- Last updated
- Nov 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | ARNP9251699 | FL | Yes |
Practice location
5258 Linton Blvd # G1Delray Beach, FL 33484-6540
Phone 561-330-4695 · Fax 561-330-4696
Mailing address
6326 Harbour Oak DrLake Worth, FL 33467-6840
Phone 239-641-2050 · Fax 561-330-4696
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