Organization
GASTROENTEROLOGY CONSULTANTS OF CENTRAL FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH R MOORE DO (PHYSICIAN)
(407) 277-8665
Entity
Organization
Contact information
Practice address
10800 DYLAN LOREN CIR, SUITE 102, ORLANDO, FL 32825-4437
(407) 277-8665
(407) 277-1267
Mailing address
10800 DYLAN LOREN CIR, SUITE 102, ORLANDO, FL 32825-4437
(407) 277-8665
(407) 277-1267
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003313200
—
FL
Enumeration date
10/17/2005
Last updated
07/21/2022
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