Individual
SAVANNAH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
717 SE 2ND ST STE 100, FORT LAUDERDALE, FL 33301-3639
(954) 707-5158
Mailing address
717 SE 2ND ST STE 100, FORT LAUDERDALE, FL 33301-3639
(954) 328-1602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
TRN18792
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
OS16209
FL
Other
Enumeration date
05/20/2013
Last updated
10/12/2023
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