Most Relevant Information
Provider Data
| NPI Number: | 1003567496 |
| Provider Name: | NATASHA MOREAU |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN9312914 |
Most Important Dates
| Enumeration Date: | 01/17/2022 |
| Last Updated: | 01/17/2022 |
Provider Practice Location
1611 NW 12TH AVE
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 3055857100 |
| Fax: |
Provider Mailing Location
10306 SW 19TH ST
MIRAMAR
FL
330251796
Provider Mailing Phone/Fax
| Phone: | 7862858242 |
| Fax: |