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Individual

CAROLYN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
6000 LAKE ELLENOR DR, ORLANDO, FL 32809-4615
(407) 680-1226
Mailing address
3515 IDLE HOUR DR, ORLANDO, FL 32822-3037
(251) 648-9624

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044672
FL

Other

Enumeration date
01/06/2026
Last updated
03/15/2026
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