Individual
BRIAN MOOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4236 HONEYSUCKLE AVE, PALM BEACH GARDENS, FL 33410-5511
(561) 255-5307
Mailing address
4236 HONEYSUCKLE AVE, PALM BEACH GARDENS, FL 33410-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11016980
FL
Other
Enumeration date
12/25/2021
Last updated
12/25/2021
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