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Search › Florida › 225200000X

Dustin Moore, PTA

NPI 1265717912 · on the registry since 2011

Practice

Address
404 Nw Hall Of Fame Dr
Lake City, FL 32055
Phone
(386) 755-3164
Fax
(386) 755-3165
Organisation at this address
Merk, Inc
Veedhata Om Llc
Physicians Group Services Pa
Scott B. Samera, Dpm, Pa, Llc
Southern Internal Medicine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-13

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