Moore, Melissa M
Moore, Melissa M is an individual health care provider with primary practice located at 100 N Edinburgh Dr Ste 200 , Winter Park FL 32792-4125. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Moore, Melissa M can be contacted via phone (407) 645-5565.Contact Information
Primary practice address
100 N Edinburgh Dr Ste 200
Winter Park FL 32792-4125
Phone: (407) 645-5565
Fax: (407) 647-1135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ME75528 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME75528 | Florida |
Profile Details
| NPI number | 1740282466 |
|---|---|
| LBN Legal business name | Moore, Melissa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740282466 | NPPES |
| Florida | MEDICAID | 256559500 |
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