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Individual

ROBIN MICHELLE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1700 S 23RD ST, LAWNWOOD REGIONAL MEDICAL CENTER, FORT PIERCE, FL 34950-4803
(772) 468-4000
Mailing address
610 CLEMATIS ST APT 705, WEST PALM BEACH, FL 33401-5324
(252) 916-6798

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010-00875
NC
207P00000X
Emergency Medicine Physician
256744-1
NY
207P00000X
Emergency Medicine Physician
Primary
ME111268
FL

Other

Enumeration date
06/03/2010
Last updated
07/05/2012
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