Individual
MS. LISSETTE Y MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
661 E ALTAMONTE DR STE 324, ALTAMONTE SPRINGS, FL 32701
(407) 303-3031
(407) 303-3047
Mailing address
661 E ALTAMONTE DR STE 324, ALTAMONTE SPRINGS, FL 32701-5103
(407) 303-3031
(407) 303-3047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9253441
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
363LA2200X
FL
Other
Enumeration date
01/24/2012
Last updated
07/30/2018
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