Individual
CRYSTAL B MORING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 W PINELOCH AVE STE 23, ORLANDO, FL 32806-6100
(407) 635-5060
(321) 842-9869
Mailing address
102 W PINELOCH AVE STE 23, ORLANDO, FL 32806-6100
(407) 635-5060
(321) 842-9869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175633
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11028964
FL
363LF0000X
Family Nurse Practitioner
0024175633
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121749600
—
FL
Enumeration date
12/29/2017
Last updated
05/09/2024
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