Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11705 SAN JOSE BLVD STE 111, JACKSONVILLE, FL 32223-1653
(904) 345-7450
Mailing address
12585 FLAGLER CENTER BLVD APT 1103, JACKSONVILLE, FL 32258-2633
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
37358
FL
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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