Most Relevant Information
Provider Data
| NPI Number: | 1003199340 |
| Provider Name: | GINELLE M MOYA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS42879 |
Most Important Dates
| Enumeration Date: | 09/22/2011 |
| Last Updated: | 11/19/2012 |
Provider Practice Location
11401 SW 40TH ST
SUITE 400
MIAMI
FL
331653372
Practice Location Phone/Fax
| Phone: | 3052297507 |
| Fax: |
Provider Mailing Location
11401 SW 40TH ST
SUITE 400
MIAMI
FL
331653372
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |