Individual
ERIC EE MOUM
Active
Individual
ERIC EE MOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0058720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12145
BCBS
FL
Enumeration date
08/20/2006
Last updated
12/09/2019
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