Individual
JONATHAN EDWARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
521 NW 42ND ST, MIAMI, FL 33127-2841
(718) 650-3539
Mailing address
521 NW 42ND ST, MIAMI, FL 33127-2841
(718) 650-3539
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA63546
FL
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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