Organization
JAMES T. MOORE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TRACY MOORE M.D. (PSYCHIATRIST)
(386) 254-4015
Entity
Organization
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4015
(386) 947-1764
Mailing address
PO BOX 2830, DAYTONA BEACH, FL 32120-2830
(386) 254-4015
(386) 947-1764
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0049696
FL
Other
Enumeration date
03/05/2008
Last updated
07/19/2011
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