Moore, Jamie
Moore, Jamie is an sole proprietor health care provider with primary practice located at 4565 Us Highway 17 Ste 200 , Fleming Island FL 32003-4823. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Moore, Jamie can be contacted via phone (904) 634-0640.Contact Information
Primary practice address
4565 Us Highway 17 Ste 200
Fleming Island FL 32003-4823
Phone: (904) 634-0640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA 26354 | Florida |
Profile Details
| NPI number | 1992161871 |
|---|---|
| LBN Legal business name | Moore, Jamie |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2016 |
| Last updated | Oct 10th, 2019 - about 6 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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