Individual
ROBERT JAY MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7350 DAIRY RD, ZEPHYRHILLS, FL 33540-1354
(813) 788-4300
Mailing address
21323 SOUTHERN CHARM DR, LAND O LAKES, FL 34637-7656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24710
FL
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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