Moore, John Clifton
Moore, John Clifton is an individual health care provider with primary practice located at 1033 N Parkway Frontage Rd , Lakeland FL 33803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moore, John Clifton can be contacted via phone (863) 647-8011.Contact Information
Primary practice address
1033 N Parkway Frontage Rd
Lakeland FL 33803
Phone: (863) 647-8011
Fax: (863) 647-8029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME27037 | Florida |
Profile Details
| NPI number | 1659344968 |
|---|---|
| LBN Legal business name | Moore, John Clifton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1659344968 | NPPES |
| Florida | MEDICAID | 066805200 |
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