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Individual

DR. MICHAEL JAMES MOFFATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1881 SE TIFFANY AVE STE 201, PORT ST LUCIE, FL 34952-7567
(772) 335-9600
Mailing address
1881 SE TIFFANY AVE STE 201, PORT ST LUCIE, FL 34952-7567
(772) 335-9600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO3650
NV
207R00000X
Internal Medicine Physician
Primary
OS19595
FL
208M00000X
Hospitalist Physician
Primary
DO3650
NV

Other

Enumeration date
01/13/2006
Last updated
01/15/2026
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