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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1891806667 NPPES
Florida MEDICAID 041420400

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