Individual
ANGELA MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11024019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11024019
STATE OF FLORIDA LICENSE.
FL
Enumeration date
08/13/2015
Last updated
08/03/2023
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