Individual
TERESA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 BRIDGEPORT WAY, KISSIMMEE, FL 34758-4139
(407) 914-6831
(407) 978-6087
Mailing address
108 BRIDGEPORT WAY, KISSIMMEE, FL 34758-4139
(407) 914-6831
(407) 978-6087
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
287241
FL
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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