Organization
JENNIFER MOORE, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MOORE M.D. (OWNER)
(772) 228-9787
Entity
Organization
Contact information
Practice address
7764 BAY ST STE 10, SEBASTIAN, FL 32958-3427
(772) 228-9787
(772) 563-0370
Mailing address
7764 BAY ST STE 10, SEBASTIAN, FL 32958-3427
(772) 228-9787
(772) 563-0370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME90718
FL
Other
Enumeration date
01/18/2008
Last updated
01/30/2008
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