Moore, Earle W.
Moore, Earle W. is an sole proprietor health care provider with primary practice located at 523 Cape Coral Pkwy E Primary Care Assoc., Cape Coral FL 33904-8545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Earle W. can be contacted via phone (239) 549-2772.Contact Information
Primary practice address
523 Cape Coral Pkwy E Primary Care Assoc.
Cape Coral FL 33904-8545
Phone: (239) 549-2772
Fax: (239) 549-2332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME116763 | Florida |
Profile Details
| NPI number | 1669476008 |
|---|---|
| LBN Legal business name | Moore, Earle W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669476008 | NPPES |
| Virginia | MEDICAID | 007610114 |
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