Individual
MRS. JILL L MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 978-5996
Mailing address
43 CITRUS DR, PALM HARBOR, FL 34684-1207
(813) 972-2000
(813) 978-5996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
549884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549884
RN
TX
Enumeration date
05/25/2006
Last updated
12/13/2007
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