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Organization

MOORINGS PARK HEALTHY LIVING

Active
Parent organization
MOORINGS PARK HEALTHY LIVING, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MOORINGS PARK HEALTHY LIVING, INC.
Authorized official
MARY MORTON (CORPORATE COMPLIANCE OFFICER)
(239) 643-9168
Entity
Organization

Contact information

Practice address
132 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-6387
(239) 430-6365
Mailing address
132 MOORINGS PARK DR, NAPLES, FL 34105-2122
(239) 430-6387
(239) 430-6365

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
FL

Other

Enumeration date
09/16/2014
Last updated
09/25/2014
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