Organization
HORMONE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN P MOORE RN AIS BC (OWNER)
(386) 719-5656
Entity
Organization
Contact information
Practice address
444 SW ALACHUA AVE, LAKE CITY, FL 32025-5213
(386) 719-5656
(386) 719-5654
Mailing address
444 SW ALACHUA AVE, LAKE CITY, FL 32025-5213
(386) 719-5656
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME106629
FL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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