Individual
CLEA J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
Mailing address
133 BENMORE DR STE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
283905
MA
207Q00000X
Family Medicine Physician
Primary
ME161392
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
11/21/2024
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