Moore, Alicia Maria

Moore, Alicia Maria is an individual health care provider with primary practice located at 39 Barkley Cir , Fort Myers FL 33907-7531. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Moore, Alicia Maria can be contacted via phone (239) 936-1616.

Contact Information

Primary practice address
39 Barkley Cir Fort Myers FL 33907-7531
Phone: (239) 936-1616
Fax: (239) 936-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1424 Florida

Profile Details

NPI number 1235337213
LBN Legal business name Moore, Alicia Maria
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 13th, 2019 - about 5 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 1235337213 NPPES
Florida Other 0179156 GHI
Florida Other P01321826 GHI
Florida MEDICAID 600543800 GHI

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