Individual
DR. ELAINE E. MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, DHSC
Contact information
Practice address
411 N. WEBSTER STREET, WILDWOOD, FL 34785
(352) 748-6689
(352) 748-6381
Mailing address
32648 DARBY ROAD, DADE CITY, FL 33525
(352) 748-0283
(352) 748-0117
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
728402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300313200
—
FL
01
—
Y7190
BCBS
FL
Enumeration date
03/09/2006
Last updated
07/07/2014
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