Individual
MRS. SWINITA REDDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
4769 LAKESIDE CIR E, DAVIE, FL 33314-4209
(904) 687-8629
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA662
FL
Other
Enumeration date
03/24/2021
Last updated
10/05/2021
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