Moore, James Marvin

Moore, James Marvin is an individual health care provider with primary practice located at 3188 Mansfield St , The Villages FL 32162-7448. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, James Marvin can be contacted via phone (352) 409-7030.

Contact Information

Primary practice address
3188 Mansfield St The Villages FL 32162-7448
Phone: (352) 409-7030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY3671 Florida

Profile Details

NPI number 1134116544
LBN Legal business name Moore, James Marvin
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1134116544 NPPES
Florida Other 75793 BC/BS ID NUMER

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