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Geneath Moffett

NPI 1447786223 · on the registry since 2017

Practice

Address
110 Colibri Way
Apt 106
Melbourne, FL 32901
Phone
(321) 514-6006

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-11

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