Moore Medical Group Inc
Family Medicine Physician in Lake Mary, FL(View on Map)
Legal Business Name
Moore Medical Group Inc
NPI Number
1871117572
NPI Type
Organization
Enumeration Date
05/29/2020
Specialties
(Taxonomies)Name
Code
207Q00000X
207QA0000X
207QA0505X
2084P0804X
101Y00000X
2084P0800X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
801 INTERNATIONAL PKWY STE 500
801 INTERNATIONAL PKWY STE 500
City
Lake Mary
Lake Mary
State
FL
FL
Postal Code
32746-4763
32746-4763
Country
US
US
Telephone Number
(407) 493-3549
(407) 493-3549
Authorized Official
Name
Eric Moore
Title or Position
CEO/ CJIEF MEDICAL OFFICER
Telephone Number
(407) 496-3549
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/29/2020
Provider Address
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