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Individual

SYLVIA A MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
11548 WELLMAN DR, RIVERVIEW, FL 33569-3765
(813) 972-2000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NONE

Other

Enumeration date
07/15/2006
Last updated
07/08/2007
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