Moore, Frederick A

Moore, Frederick A is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Moore, Frederick A can be contacted via phone (352) 273-5670.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 273-5670
Fax: (352) 273-5683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X F9847 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME110310 Florida

Profile Details

NPI number 1992743850
LBN Legal business name Moore, Frederick A
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992743850 NPPES
Florida MEDICAID 003839400
Florida MEDICAID 136971210
Florida Other P00345039
Florida Other 136971211
Florida Other 8V8609

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