Individual
WISTAR MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E 6TH ST STE 307, PANAMA CITY, FL 32401-3663
(850) 785-9559
(850) 608-6423
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME64685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375218600
—
FL
Enumeration date
06/29/2006
Last updated
03/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us