Individual
MR. BRIAN EUGENE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8415 BAYSHORE BLVD, TAMPA, FL 33621-1607
(813) 827-9548
(813) 827-5731
Mailing address
27439 MISTFLOWER DR, WESLEY CHAPEL, FL 33543-7776
(813) 929-7753
(813) 827-2129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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