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Individual

DR. ALICIA MARIA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
9711 COMMERCE CENTER CT, FORT MYERS, FL 33908-3817
(239) 939-2621
(239) 939-3875
Mailing address
9711 COMMERCE CENTER CT, FORT MYERS, FL 33908-3817
(239) 939-2621
(239) 939-3875

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1424
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0179156
GHI
FL
05
600543800
FL
01
P01321826
RR MEDICARE
FL
Enumeration date
07/11/2007
Last updated
12/24/2024
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