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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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