Individual
WILLIAM DONALD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1717 N E ST, SUITE 331, PENSACOLA, FL 32501-6339
(850) 484-6500
(850) 857-1747
Mailing address
1717 N E ST, SUITE 331, PENSACOLA, FL 32501-6339
(850) 484-6500
(850) 857-1747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941519
—
AL
05
—
292645800
—
FL
Enumeration date
01/08/2007
Last updated
01/05/2017
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