Individual
PHILIP MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1713 US HIGHWAY 441 N, STE H, OKEECHOBEE, FL 34972-1900
(863) 357-1510
(863) 357-1518
Mailing address
1713 US HIGHWAY 441 N, STE H, OKEECHOBEE, FL 34972-1900
(863) 357-1510
(863) 357-1518
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 102679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000620400
—
FL
01
—
91850
FLORIDA BLUE
FL
Enumeration date
06/19/2006
Last updated
02/09/2022
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