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Organization
MOORE MEDICAL GROUP INC
Active
Organization
MOORE MEDICAL GROUP INC
Active
Other names
CAYA Health
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC A MOORE MD (CEO/ CJIEF MEDICAL OFFICER)
(407) 496-3549
Entity
Organization
Contact information
Practice address
801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL 32746-4763
(407) 493-3549
Mailing address
801 INTERNATIONAL PKWY STE 500, LAKE MARY, FL 32746-4763
(407) 493-3549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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