Individual
DEBORAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 SPLIT FORK DR, OLDSMAR, FL 34677-2768
(727) 403-1262
Mailing address
1707 SPLIT FORK DR, OLDSMAR, FL 34677-2768
(727) 403-1262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4625
FL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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