Organization
MOORINGS PARK HEALTHY LIVING, INC
Active
Parent organization
MOORINGS PARK HEALTHY LIVING, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOORINGS PARK HEALTHY LIVING, INC
Authorized official
TIMOTHY S BUIST (CFO)
(239) 261-1616
Entity
Organization
Contact information
Practice address
132 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-6387
(239) 430-6365
Mailing address
132 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-6387
(239) 430-6365
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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