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Organization

JANICE A MOODY, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANICE ANETTE MOODY MD (PRESIDENT)
(305) 292-2625
Entity
Organization

Contact information

Practice address
1111 12TH ST STE 112, KEY WEST, FL 33040-4087
(305) 292-2625
Mailing address
PO BOX 2540, KEY WEST, FL 33045-2540
(305) 292-2625

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME77163
FL

Other

Enumeration date
04/23/2007
Last updated
08/22/2020
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