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Individual

DR. JEFFREY GEORGE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1433 CARING CT, MAITLAND, FL 32751-4252
(313) 515-9184
Mailing address
1433 CARING CT, MAITLAND, FL 32751-4252
(313) 515-9184

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101022877
MI
207L00000X
Anesthesiology Physician
5315078778
MI
207L00000X
Anesthesiology Physician
Primary
OS13887
FL

Other

Enumeration date
07/08/2011
Last updated
08/25/2016
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