Moore, Darall J
Moore, Darall J is an sole proprietor health care provider with primary practice located at 4200 Central Ave , St Petersburg FL 33711-1140. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Moore, Darall J can be contacted via phone (727) 321-8806.Contact Information
Primary practice address
4200 Central Ave
St Petersburg FL 33711-1140
Phone: (727) 321-8806
Fax: (727) 321-6838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO1999 | Florida |
Profile Details
| NPI number | 1891806667 |
|---|---|
| LBN Legal business name | Moore, Darall J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 30th, 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 | 1891806667 | NPPES |
| Florida | MEDICAID | 041420400 |
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