Individual
CASEY BLAINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5375 SCHOOL RD, NEW PORT RICHEY, FL 34652
(888) 373-0013
Mailing address
2710 REW CIR STE 200, OCOEE, FL 34761-2967
(668) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9267893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001083600
—
FL
01
—
P00927067
MEDICARE RAILROAD
FL
Enumeration date
05/05/2009
Last updated
04/13/2026
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