Individual
SHAMILLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 CEPEDA ST, ORLANDO, FL 32811-4823
(321) 458-7443
Mailing address
4725 CEPEDA ST, ORLANDO, FL 32811-4823
(321) 458-7443
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
12/03/2015
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