Individual
DR. KENDALL DEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-5635
(352) 733-1233
Mailing address
PO BOX 100283, GAINESVILLE, FL 32610-0283
(352) 733-1233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME132778
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME132778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021400900
—
FL
05
—
115899700
—
FL
Enumeration date
06/17/2013
Last updated
07/01/2025
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