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Individual

ASHLEE E. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57407
WI
208600000X
Surgery Physician
35.093515
OH
208600000X
Surgery Physician
57407
WI
2086S0127X
Trauma Surgery Physician
Primary
ME118118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010462400
FL
01
HR712X
HFMG FL MEDICARE
FL
01
HR712Y
FL MEDICARE
FL
Enumeration date
03/30/2007
Last updated
05/25/2021
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