Individual
THOMAS JOSEPH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908
(239) 343-2052
(239) 343-5348
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS12311
FL
208M00000X
Hospitalist Physician
Primary
OS12311
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010620000
—
FL
Enumeration date
07/22/2011
Last updated
03/30/2021
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