Organization
MOORE & MENNETO CHIROPRACTIC, PLLC
Active
Organization
MOORE & MENNETO CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA MOORE DC (PARTNER)
(479) 466-7717
Entity
Organization
Contact information
Practice address
3959 S NOVA RD, STE 9, PORT ORANGE, FL 32127
(386) 202-2714
(386) 202-2708
Mailing address
6910 VINTAGE LANE, PORT ORANGE, FL 32128
(386) 202-2714
(386) 202-2708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9865
FL
111NS0005X
Sports Physician Chiropractor
Primary
CH11081
FL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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