Individual
CHRISTINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 HEALTH PARK BLVD STE 5010, ST AUGUSTINE, FL 32086-3705
(904) 823-8809
Mailing address
6 SEPTEMBER PL, PALM COAST, FL 32164-4412
(386) 986-8514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9362525
FL
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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