Moore, Mary Sue
Moore, Mary Sue is an sole proprietor health care provider with primary practice located at 401 Cecil G Costin Sr Blvd , Port St Joe FL 32456-1928. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Mary Sue can be contacted via phone (850) 229-1043.Contact Information
Primary practice address
401 Cecil G Costin Sr Blvd
Port St Joe FL 32456-1928
Phone: (850) 229-1043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9162481 | Florida |
Profile Details
| NPI number | 1508221284 |
|---|---|
| LBN Legal business name | Moore, Mary Sue |
| Credentials | APRN, DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2015 |
| Last updated | May 1st, 2023 - about last year |
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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