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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