Individual
DR. BRYON R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1065 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4210
(407) 847-4101
(407) 847-4728
Mailing address
1065 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4210
(407) 847-4101
(407) 847-4728
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11367032
CAQH PROVIDER ID
FL
Enumeration date
05/08/2006
Last updated
06/22/2016
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