Individual
DARRA S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1750 17TH ST, SARASOTA, FL 34234-8632
(941) 861-1400
Mailing address
6055 RAND BLVD, SARASOTA, FL 34238-5189
(941) 361-6250
(941) 361-6272
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2829392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2829392
RN LICENSE
FL
Enumeration date
12/01/2009
Last updated
12/01/2009
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