Individual
KEVIN R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10528 NW 57TH CT, CORAL SPRINGS, FL 33076-2810
(954) 825-8302
(954) 345-3789
Mailing address
10528 NW 57TH CT, CORAL SPRINGS, FL 33076-2810
(954) 825-8302
(954) 345-3789
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
11/15/2006
Last updated
07/09/2007
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