Moon, Harry K.
Moon, Harry K. is an sole proprietor health care provider with primary practice located at 717 Se 2Nd St , Ft Lauderdale FL 33301-3605. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moon, Harry K. can be contacted via phone (954) 493-5005.Contact Information
Primary practice address
717 Se 2Nd St
Ft Lauderdale FL 33301-3605
Phone: (954) 493-5005
Fax: (954) 337-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME51849 | Florida |
Profile Details
| NPI number | 1114088507 |
|---|---|
| LBN Legal business name | Moon, Harry K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jan 22nd, 2014 - about 11 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 | 1114088507 | NPPES |
| Florida | Other | 04903 | BLUECROSSBLUESHIELD OF FL |
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