Moody, Donna Gail

Moody, Donna Gail is an individual health care provider with primary practice located at 957 E Del Webb Blvd Ste 101 , Sun City Center FL 33573-6671. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Moody, Donna Gail can be contacted via phone (813) 634-1484.

Contact Information

Primary practice address
957 E Del Webb Blvd Ste 101 Sun City Center FL 33573-6671
Phone: (813) 634-1484
Fax: (813) 435-2023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ARNP1326002 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1326002 Florida

Profile Details

NPI number 1497788467
LBN Legal business name Moody, Donna Gail
Credentials ARNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 28th, 2015 - about 11 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 1497788467 NPPES
Florida Other P00089075 RAILROAD MEDICARE

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