Individual
ERIC JAVARES MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
734 TROPICAL WAY, LAKELAND, FL 33805-4541
(813) 410-7861
Mailing address
734 TROPICAL WAY, LAKELAND, FL 33805-4541
(813) 410-7861
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M300210893210
FL
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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