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General NPI Number Information
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NPI Number | 1396044574
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Entity Type | Individual
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Provider Name | ADRIENNE E. MOUL MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2011
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 786-596-6525
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Fax | 786-596-5986
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Provider Business Mailing Address
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Address Line | PO BOX 198227
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City | ATLANTA
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State | GA
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Zip | 30384-8227
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Country | US
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Telephone | 786-596-6525
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Fax | 786-596-5986
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 122089
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License Number State | FL
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