Organization
JANICE A. MOODY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE A. MOODY M.D. (PRESIDENT)
(305) 509-3082
Entity
Organization
Contact information
Practice address
1111 12TH ST, SUITE112, KEY WEST, FL 33040-4088
(305) 292-2625
(305) 292-2632
Mailing address
PO BOX 2540, KEY WEST, FL 33045-2540
(305) 292-2625
(305) 292-2632
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME77163
FL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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