Individual
DR. MICHAEL DUANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15004 CORTEZ BLVD, SPRING HILL, FL 34613-6068
(352) 596-4422
(352) 597-2771
Mailing address
PO BOX 7386, HUDSON, FL 34674-7386
(727) 862-8383
(727) 863-4766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS9217
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS9217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271050100
—
FL
01
—
46676
BCBS
FL
01
—
P00168703
RRW MCR
—
Enumeration date
09/20/2005
Last updated
06/18/2015
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