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Organization
MOON FAMILY PRACTICE LLC
Active
Organization
MOON FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSARRAT PASHA MOON MD (PRESIDENT)
(407) 352-1303
Entity
Organization
Contact information
Practice address
7448 DOCS GROVE CIR, SUITE 200, ORLANDO, FL 32819-8010
(407) 352-1303
(407) 352-3833
Mailing address
7448 DOCS GROVE CIR, SUITE 200, ORLANDO, FL 32819-8010
(407) 352-1303
(407) 352-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME74705
FL
Other
Enumeration date
06/30/2006
Last updated
11/11/2009
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