Individual
DR. MARINA MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
465 S ORLANDO AVE, MAITLAND, FL 32751-5654
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME167339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME167339
FLORIDA MEDICAL LICENSE
FL
Enumeration date
10/17/2008
Last updated
01/12/2025
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