Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12881 WINTHROP COVE DR, JACKSONVILLE, FL 32224-7568
(812) 599-4348
Mailing address
12881 WINTHROP COVE DR, JACKSONVILLE, FL 32224-7568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12714
FL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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