Moore, Jayson Richard

Moore, Jayson Richard is an individual health care provider with primary practice located at 22829 State Road 54 , Land O Lakes FL 34639-5227. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Moore, Jayson Richard can be contacted via phone (813) 949-0464.

Contact Information

Primary practice address
22829 State Road 54 Land O Lakes FL 34639-5227
Phone: (813) 949-0464
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS37897 Florida

Profile Details

NPI number 1831460245
LBN Legal business name Moore, Jayson Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2012
Last updated Jan 16th, 2012 - 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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