Individual
MARIELLEN J. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., PH.D.
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS42588
FL
Other
Enumeration date
01/14/2009
Last updated
08/06/2014
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