Moore Medical Group Inc

LBN: Moore Medical Group Inc
Moore Medical Group Inc is an health care organization with primary practice located at 4300 W Lake Mary Blvd Ste 1010-357, Lake Mary FL 32746-2060. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Moore Medical Group Inc can be contacted via phone (407) 732-7957, or through Moore, Eric Alan via phone (407) 732-7957.

Contact Information

Primary practice address
4300 W Lake Mary Blvd Ste 1010-357 Lake Mary FL 32746-2060
Phone: (407) 732-7957
Fax: (407) 732-7925
Website:
Map and Directions
Authorized official contact:
Name: Moore, Eric Alan Doctor of Medicine (MD)
Phone: (407) 732-7957

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME63176 Florida

Profile Details

NPI number 1578724183
LBN Legal business name Moore Medical Group Inc
DBA Doing business as
Authorized official Moore, Eric Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Oct 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578724183 NPPES
Florida MEDICAID 006387600

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