Moon, Savannah
Moon, Savannah is an individual health care provider with primary practice located at 717 Se 2Nd St Ste 100 , Fort Lauderdale FL 33301-3639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Moon, Savannah can be contacted via phone (954) 707-5158.Contact Information
Primary practice address
717 Se 2Nd St Ste 100
Fort Lauderdale FL 33301-3639
Phone: (954) 707-5158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | TRN18792 | Florida |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | OS16209 | Florida |
Profile Details
| NPI number | 1780020529 |
|---|---|
| LBN Legal business name | Moon, Savannah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2013 |
| Last updated | Oct 12th, 2023 - about last year |
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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