Organization
JEFFREY M MOORE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M MOORE OD (OWNER OPTOMETRIST)
(941) 255-0588
Entity
Organization
Contact information
Practice address
1444 TAMIAMI TRAIL, 481, PT CHARLOTTE, FL 33948
(941) 255-0588
Mailing address
5142 SW 3RD AVE, CAPE CORAL, FL 33914-7119
(239) 549-2506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1680
FL
Other
Enumeration date
11/24/2006
Last updated
01/12/2009
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