Moore, Dustin C

Moore, Dustin C is an individual health care provider with primary practice located at 404 Nw Hall Of Fame Dr , Lake City FL 32055-4833. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Moore, Dustin C can be contacted via phone (386) 755-3164.

Contact Information

Primary practice address
404 Nw Hall Of Fame Dr Lake City FL 32055-4833
Phone: (386) 755-3164
Fax: (386) 755-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 21966 Florida

Profile Details

NPI number 1265717912
LBN Legal business name Moore, Dustin C
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 13 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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