# JANICE A. MOODY, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346595253
- **Authorized official:** DR. JANICE A. MOODY M.D. (PRESIDENT)
- **Authorized official phone:** (305) 509-3082

## Contact information

- **Practice address:** 1111 12TH ST, SUITE112, KEY WEST, FL 33040-4088
- **Practice address phone:** (305) 292-2625
- **Practice address fax:** (305) 292-2632
- **Mailing address:** PO BOX 2540, KEY WEST, FL 33045-2540
- **Mailing address phone:** (305) 292-2625
- **Mailing address fax:** (305) 292-2632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | ME77163 | FL | Yes |

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 07/17/2012