Moak, Lauren Elise

Moak, Lauren Elise is an individual health care provider with primary practice located at 220 Barton Blvd Unit C-14 , Rockledge FL 32955-2742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moak, Lauren Elise can be contacted via phone (321) 241-6800.

Contact Information

Primary practice address
220 Barton Blvd Unit C-14 Rockledge FL 32955-2742
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME143008 Florida

Profile Details

NPI number 1073990503
LBN Legal business name Moak, Lauren Elise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2015
Last updated Aug 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073990503 NPPES
Florida MEDICAID 106029300

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