Individual provider · NPI-1

Moira Leah Al-Malt, R.N.

Registered Nurse, Diabetes Educator · Orlando, FL

NPI number1902160070
StatusActive
Last updated in NPPESJul 3, 2012

Details

NPI
1902160070
Entity type
Individual (NPI-1)
Name
Moira Leah Al-Malt
Credential
R.N.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 3, 2012
Last updated
Jul 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator3349732FLYes

Practice location

615 E Princeton St
Suite 240
Orlando, FL 32803-1456

Phone 407-897-3737 · Fax 407-897-3711

Mailing address

615 E Princeton St
Suite 240
Orlando, FL 32803-1456

Phone 407-897-3737 · Fax 407-897-3711

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