Individual
MR. CLINT ALEXANDER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBHCHS CASE MGMT.
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 543-8545
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 543-8545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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