person
Miss Kristin M. Moreno, PA-C,MPH
Surgical Physician Assistant in Melbourne, Florida
NPI 1548745037

Kristin M. Moreno is a Surgical Physician Assistant based in Rockledge, FL and is specialized in Surgical. Kristin M. Moreno practices in Melbourne, FL and has the professional credentials of PA-C,MPH. The NPI Number for Kristin M. Moreno is 1548745037 and holds a License No. PA9111626 (Florida).

The current practice location address for Kristin M. Moreno is 1251 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-3420 and via fax at 321-434-3423.

Location: 1251 Hickory St, Melbourne, FL, 32955-4306
person
Provider Profile Details
NPI Number
1548745037
Provider Name
Kristin M. Moreno
Credential
PA-C,MPH
Provider Entity Type
Individual
Gender
Female
Address
1251 Hickory St, Melbourne, FL, 32955-4306
Phone Number
321-434-3420
Fax Number
321-434-3423
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KN334 01 FL MEDICARE HFPSI
101537200 05 FL
KM444 01 FL MEDICARE HFMG
institution
Provider Business Practice Location Address Details
Address
1251 Hickory St
City
State
Zip
32901-3221
Phone Number
321-434-3420
Fax Number
321-434-3423
person
Provider Business Mailing Address Details
Address
1251 Hickory St
City
State
Zip
32901-3221
Phone Number
321-434-3420
Fax Number
321-434-3423
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9111626 (Florida)
Definition
Definition to come...
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