# ASHLEE E. MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407976517
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 57407 | WI | — |
| 208600000X | Surgery Physician | 35.093515 | OH | — |
| 208600000X | Surgery Physician | 57407 | WI | — |
| 2086S0127X | Trauma Surgery Physician | ME118118 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 05/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010462400 | — | FL |
| 01 | — | HR712X | HFMG FL MEDICARE | FL |
| 01 | — | HR712Y | FL MEDICARE | FL |