Organization
MOON FAMILY PRACTICE, LLC
Active
Organization
MOON FAMILY PRACTICE, LLC
Active
Parent organization
MOON FAMILY PRACTICE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOON FAMILY PRACTICE, LLC
Authorized official
DR. MUSARRAT P. MOON MD (PRESIDENT)
(407) 352-1303
Entity
Organization
Contact information
Practice address
7448 DOCS GROVE CIR, SUITE 200, ORLANDO, FL 32819-8010
(407) 352-1303
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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