Individual
DONALD J. MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
632 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2278
(239) 772-5577
(239) 573-1528
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 772-5577
(239) 573-1528
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME76649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552345-00
—
FL
01
—
44466
BCBS
FL
Enumeration date
04/08/2006
Last updated
10/28/2022
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