Individual
DR. CHARLES E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5076
(850) 878-5184
(850) 656-6280
Mailing address
1210 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5076
(850) 878-5184
(850) 656-6280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME21857
FL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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