Organization
TITUS MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITUS MOORE (OWNER)
(407) 860-5283
Entity
Organization
Contact information
Practice address
108 BRIDGEPORT WAY, KISSIMMEE, FL 34758-4139
(407) 860-5283
Mailing address
108 BRIDGEPORT WAY, KISSIMMEE, FL 34758-4139
(407) 860-5283
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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