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:
Health care specialties
Specialty | Code | License # | 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 6 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 | 1235337213 | NPPES |
Florida | Other | 0179156 | GHI |
Florida | Other | P01321826 | GHI |
Florida | MEDICAID | 600543800 | GHI |
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