Individual
BRANDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6111
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(800) 348-4565
(888) 203-4247
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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