Organization
GLORIA Z. MOORE D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA Z. MOORE D.C. (PRESIDENT)
(904) 794-0909
Entity
Organization
Contact information
Practice address
101 WHITEHALL DR, SUITE 102, ST AUGUSTINE, FL 32086-5268
(904) 794-0909
(904) 794-6700
Mailing address
101 WHITEHALL DR, SUITE 102, ST AUGUSTINE, FL 32086-5268
(904) 794-0909
(904) 794-6700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH 6819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508814856
NPI
FL
Enumeration date
02/19/2009
Last updated
02/19/2009
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