Individual
ANGELA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 EMILY BLND, WINTER HAVEN, FL 33884-3388
(863) 258-5880
Mailing address
1905 EMILY BLND, WINTER HAVEN, FL 33884
(863) 258-5880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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