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Roosevelt Moore, RPT

NPI 1265697304 · on the registry since 2008 · sole proprietor

Practice

Address
6883 Sw 194th Ave
Fort Lauderdale, FL 33332
Phone
(305) 968-5622

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-28

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