Individual
DR. MARTHA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6428 BEACH BLVD, JACKSONVILLE, FL 32216-2813
(904) 724-1717
(904) 724-1719
Mailing address
6428 BEACH BLVD, JACKSONVILLE, FL 32216-2813
(904) 724-1717
(904) 724-1719
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME86740
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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