Individual
RITA M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 PELICAN BAY DRIVE, DAYTONA BEACH, FL 32119
(386) 868-1992
Mailing address
202 SOUTH HULL AVE, DELAND, FL 32720
(386) 717-7689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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