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Individual
MR. JAMES MOORE
Active
Individual
MR. JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9103288
FL
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
10/31/2005
Last updated
07/21/2022
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