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Organization
MOORE PRIMARY CARE LLC
Active
Organization
MOORE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MOORE DNP (OWNER)
(772) 220-0033
Entity
Organization
Contact information
Practice address
816 SE OCEAN BLVD, SUITE B, STUART, FL 34994-2428
(772) 220-0033
(772) 220-0036
Mailing address
816 SE OCEAN BLVD, SUITE B, STUART, FL 34994-2428
(772) 220-0033
(772) 220-0036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9166216
FL
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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