Moon, Bianca

Moon, Bianca is an individual health care provider with primary practice located at 1486 Swanson Dr , Oviedo FL 32765-5859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moon, Bianca can be contacted via phone (407) 853-8575.

Contact Information

Primary practice address
1486 Swanson Dr Oviedo FL 32765-5859
Phone: (407) 853-8575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA9111664 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111664 Florida

Profile Details

NPI number 1699247262
LBN Legal business name Moon, Bianca
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2018
Last updated Nov 15th, 2023 - about 3 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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