Individual
ROBERTA ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
13801 BRUCE B DOWNS BLVD, STE 104, TAMPA, FL 33613-3911
(813) 972-5090
(813) 975-8748
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9203856
FL
Other
Enumeration date
01/25/2013
Last updated
10/07/2024
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