Organization
MOORE/ROCKWALL SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MOORE (MANAGER)
(214) 695-8328
Entity
Organization
Contact information
Practice address
122 ROCKHILL DR, SANFORD, FL 32771-7747
(214) 695-8328
Mailing address
122 ROCKHILL DR, SANFORD, FL 32771
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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