Individual
DIANA P MOORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12200 CORTEZ BLVD, BROOKSVILLE, FL 34613-2630
(813) 373-9531
(813) 413-4330
Mailing address
106 W WINDHORST RD, BRANDON, FL 33510-2455
(813) 373-9531
(813) 413-4330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9340864
FL
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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