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Individual
GUY RUDOLPH MOISE
Active
Individual
GUY RUDOLPH MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4440
FL
208D00000X
General Practice Physician
OS 0004440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004303
NHP
FL
01
—
03674
WELLCARE
FL
05
—
068084200
—
FL
01
—
210849
AMERIGROUP
FL
01
—
82599
BCBS
FL
01
—
E12050
VISTA HEALTH PLAN
FL
Enumeration date
10/17/2005
Last updated
02/23/2024
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