Moody, Latoya D
Moody, Latoya D is an sole proprietor health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Moody, Latoya D can be contacted via phone (386) 254-4000.Contact Information
Primary practice address
303 N Clyde Morris Blvd
Daytona Beach FL 32114-2709
Phone: (386) 254-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP9219702 | Florida |
Profile Details
| NPI number | 1558404970 |
|---|---|
| LBN Legal business name | Moody, Latoya D |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | May 2nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558404970 | NPPES |
| Florida | Other | ARNP9219702 | LICENSE |
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