IndividualActive
Moody Dubreuze
NPI 1194317875 · Body Imaging Physician · Lauderdale Lakes, FL
Provider details
- NPI number
- 1194317875
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- HCC12481 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2453 N State Road 7
Lauderdale Lakes, FL 33313-3723
Phone: (954) 533-4846
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5564
Fort Lauderdale, FL 33310-5564
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.