Individual
KYLE JOSEPH MOYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W EAU GALLIE BLVD, SUITE E, MELBOURNE, FL 32935-5300
(321) 500-4263
(888) 782-9622
Mailing address
1310 W EAU GALLIE BLVD, SUITE E, MELBOURNE, FL 32935-5300
(321) 500-4263
(888) 782-9622
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME113873
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME113873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019539100
—
FL
01
—
14QH3
FLORIDA BLUE PROVIDER ID
FL
01
—
1779268
CIGNA
FL
01
—
2514077
COVENTRY
FL
01
—
3469293
UNITED HEALTHCARE
FL
01
—
9434935
AETNA
FL
01
—
LB406
FL HFMG MEDICARE
FL
01
—
LE632
FL HFMG
FL
Enumeration date
08/19/2007
Last updated
03/13/2020
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