Individual
DR. ROSE MOET MOET AYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 361-5671
(321) 676-6434
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5671
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME145226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108007300
—
FL
01
—
NU632
MEDICARE HF
FL
Enumeration date
03/27/2015
Last updated
07/22/2024
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