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Individual

KRISTIN N ANGLIN-MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
400 N HIATUS RD STE 105, PEMBROKE PINES, FL 33026-5214
(954) 431-8000
(954) 436-0449
Mailing address
1220 NW 155TH LN APT 107, MIAMI, FL 33169-6312

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110558
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110558
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105650800
FL
Enumeration date
08/28/2017
Last updated
03/31/2020
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