Female

Dr. Christine L. Moore PH.D

Full Name

Dr. Christine Li'Chele' Moore PH.D

NPI Number

1184299471

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/20/2021

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

No

Licenses

State

Florida

License Number

IMH111296

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1526
1315 W SPRUCE ST STE 113

City

Seffner
Tampa

State

FL
FL

Postal Code

33583-1526
33607-3510

Country

US
US

Telephone Number

(813) 531-5380
(727) 277-9317

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Computer

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
other

Affiliation

N

Endpoint Location

1315 W Spruce St Ste 113Tampa, FL336073510US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/20/2021

Provider Address