Individual
CAMERON OLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3820 NORTHDALE BLVD STE 101A, TAMPA, FL 33624-1834
(813) 264-7734
Mailing address
8226 SANGUINELLI RD, LAND O LAKES, FL 34637-7528
(620) 440-1093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32598
FL
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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