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Individual

RYAN OLIVER MOORHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 343-1290
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS16526
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105571100
FL
Enumeration date
04/14/2015
Last updated
03/30/2021
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