| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1568659027 | MOYA | HENRIK | CASTILLO | 3201 W. COMMERCIAL BLVD. | FT. LAUDERDALE | FL | 33309 | |
| 1114114675 | MOYA | JENNIFER | LOPEZ | 3201 W. COMMERCIAL BLVD | FT. LAUDERDALE | FL | 33309 | |
| 1306032206 | TICZON | MARI JANE | ACADEMIA | 3201 W COMMERCIAL BLVD | FT LAUDERDALE | FL | 333093440 |