Moreno, Edrey S

Moreno, Edrey S is an sole proprietor health care provider with primary practice located at 698 Sw Port St Lucie Blvd Ste 107 , Port Saint Lucie FL 34953-1565. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moreno, Edrey S can be contacted via phone (772) 249-4058.

Contact Information

Primary practice address
698 Sw Port St Lucie Blvd Ste 107 Port Saint Lucie FL 34953-1565
Phone: (772) 249-4058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA54460 Florida

Profile Details

NPI number 1750636791
LBN Legal business name Moreno, Edrey S
Credentials LMT,MMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Jul 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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