Individual
DAVID E MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12975 PARK BLVD, SEMINOLE, FL 33776-3638
(727) 319-4348
Mailing address
8154 137TH ST, SEMINOLE, FL 33776-3436
(727) 392-9306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13804
FL
Other
Enumeration date
05/03/2008
Last updated
05/03/2008
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