Individual
HOMER J. MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 NW 64TH TER, SUITE A, GAINESVILLE, FL 32605-4243
(352) 331-3583
(352) 331-3669
Mailing address
1121 NW 64TH TER, SUITE A, GAINESVILLE, FL 32605-4243
(352) 331-3583
(352) 331-3669
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
50807
TN
2084N0400X
Neurology Physician
8313
SD
2084N0400X
Neurology Physician
G84179
CA
2084N0400X
Neurology Physician
MD.MD.60367324
WA
2084N0400X
Neurology Physician
Primary
ME42681
FL
2084N0400X
Neurology Physician
P4598
TX
Other
Enumeration date
12/08/2006
Last updated
05/25/2021
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