Individual
DR. DEREK RIDDICK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
8996 SEMINOLE BLVD, SEMINOLE, FL 33772-3850
(727) 391-2602
(727) 393-5479
Mailing address
8996 SEMINOLE BLVD, SEMINOLE, FL 33772-3850
(727) 391-2602
(727) 393-5479
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004179
FL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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