Individual
DR. ANTHONY MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4710 S FLORIDA AVE, LAKELAND, FL 33813-2165
(863) 284-5000
(863) 413-5807
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME150086
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2018
Last updated
07/28/2022
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