Moore, Edwin A

Moore, Edwin A is an individual health care provider with primary practice located at 6201 N Suncoast Blvd , Crystal River FL 34428-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moore, Edwin A can be contacted via phone (800) 424-3672.

Contact Information

Primary practice address
6201 N Suncoast Blvd Crystal River FL 34428-6712
Phone: (800) 424-3672
Fax: (954) 377-3042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS7951 Florida

Profile Details

NPI number 1235160573
LBN Legal business name Moore, Edwin A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 22nd, 2008 - about 18 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 1235160573 NPPES
Florida MEDICAID 260082000

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