Moore-Boatwright, Donna Ruth
Moore-Boatwright, Donna Ruth is an sole proprietor health care provider with primary practice located at 2762 Dora Ave , Tavares FL 32778-4970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Moore-Boatwright, Donna Ruth can be contacted via phone (352) 742-7837.Contact Information
Primary practice address
2762 Dora Ave
Tavares FL 32778-4970
Phone: (352) 742-7837
Fax: (352) 742-7837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | OT 10107 | Florida |
Profile Details
| NPI number | 1932298437 |
|---|---|
| LBN Legal business name | Moore-Boatwright, Donna Ruth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 26th, 2008 - about 17 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 | 1932298437 | NPPES |
| Florida | MEDICAID | 889168100 |
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