Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moody Dubreuze

Individual provider Body Imaging Physician · NPI 1194317875

Moody Dubreuze is a Body Imaging Physician in Lauderdale Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

2453 N State Road 7
Lauderdale Lakes, FL 33313-3723
Phone: (954) 533-4846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence HCC12481 (FL)

Record details

NPI number1194317875
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing addressPo Box 5564, Fort Lauderdale, FL 33310-5564