Moore, Keith R
Moore, Keith R is an individual health care provider with primary practice located at 10800 Dylan Loren Cir Suite 102, Orlando FL 32825-4437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Moore, Keith R can be contacted via phone (407) 277-8665.Contact Information
Primary practice address
10800 Dylan Loren Cir Suite 102
Orlando FL 32825-4437
Phone: (407) 277-8665
Fax: (407) 277-1267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | OS6231 | Florida |
Profile Details
| NPI number | 1760471304 |
|---|---|
| LBN Legal business name | Moore, Keith R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760471304 | NPPES |
| Florida | MEDICAID | 003311800 |
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