Individual
LATASHA D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2601 BLAIRSTONE RD STE GC3, TALLAHASSEE, FL 32399-6563
(850) 385-0144
Mailing address
2601 BLAIRSTONE RD STE GC3, TALLAHASSEE, FL 32399-6563
(850) 385-0144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME129044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018087900
—
FL
Enumeration date
05/29/2012
Last updated
03/31/2020
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