Individual
ALAN MOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1965 CAPITAL CIR NE STE 200, TALLAHASSEE, FL 32308-8402
(850) 656-2006
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
11004124
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
11004124
FL
Other
Enumeration date
08/10/2018
Last updated
01/31/2024
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