Individual
CARLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 64TH AVE S, ST PETERSBURG, FL 33712-5554
(863) 812-0348
Mailing address
2313 CHESTNUT HILLS DR, LAKELAND, FL 33805-3986
(863) 812-0348
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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