Moreland, Douglas W

Moreland, Douglas W is an individual health care provider with primary practice located at 1705 19Th Pl Ste E2 , Vero Beach FL 32960-0688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Moreland, Douglas W can be contacted via phone (772) 257-5995.

Contact Information

Primary practice address
1705 19Th Pl Ste E2 Vero Beach FL 32960-0688
Fax: (772) 257-5962
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X OS10340 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X OS 10340 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X OS 10340 Florida

Profile Details

NPI number 1841422797
LBN Legal business name Moreland, Douglas W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2009
Last updated Apr 21st, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841422797 NPPES
Florida MEDICAID 002902500

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