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Organization
MOORE MEDICAL GROUP INC
Active
Organization
MOORE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ALAN MOORE M.D. (PHYSICIAN)
(407) 732-7957
Entity
Organization
Contact information
Practice address
4300 W LAKE MARY BLVD, STE 1010-357, LAKE MARY, FL 32746-2060
(407) 732-7957
(407) 732-7925
Mailing address
4300 W LAKE MARY BLVD, STE 1010-357, LAKE MARY, FL 32746-2060
(407) 732-7957
(407) 732-7925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME63176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006387600
—
FL
Enumeration date
06/17/2008
Last updated
10/09/2023
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