Individual
MARY SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
818 1ST ST, NEPTUNE BEACH, FL 32266-6055
(904) 422-2194
Mailing address
818 1ST ST, NEPTUNE BEACH, FL 32266-6055
(904) 422-2194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9448466
FL
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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