Individual
MR. DONALD C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL 34293-5373
(941) 408-0670
Mailing address
433 PINEWOOD LAKE DR, VENICE, FL 34285-5680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0002104
FL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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