Individual
EARLE W. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
523 CAPE CORAL PKWY E, PRIMARY CARE ASSOC., CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Mailing address
523 CAPE CORAL PKWY E, PRIMARY CARE ASSOC., CAPE CORAL, FL 33904-8545
(239) 549-2772
(239) 549-2332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME116763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610114
—
VA
Enumeration date
06/13/2005
Last updated
06/04/2014
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