Search › Florida › 103TC0700X

Michael Moates, EDD, LP, LBA, QBA

NPI 1063862258 · on the registry since 2016

Practice

Address
5764 N Orange Blossom Trl
Orlando, FL 32810
Phone
(179) 349-5008
Clinicians at this address
2

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YM0800X
101YP1600X
101YP2500X
103K00000X
103T00000X
103TC1900X
103TF0200X
103TM1800X
106E00000X
247200000X
Licence states on file
VA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida