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Individual

DR. GEORGE R MOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1190 PINE RIDGE RD, NAPLES, FL 34108-8914
(239) 261-1387
(239) 263-8780
Mailing address
1190 PINE RIDGE RD, NAPLES, FL 34108-8914
(239) 261-1387
(239) 263-8780

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0002882
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88366
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
03/28/2014
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