Moore, Lewis Don
Moore, Lewis Don is an sole proprietor health care provider with primary practice located at 2699 Stirling Rd Suite C403A, Davie FL 33312-6517. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Moore, Lewis Don can be contacted via phone (954) 894-8300.Contact Information
Primary practice address
2699 Stirling Rd Suite C403A
Davie FL 33312-6517
Phone: (954) 894-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0003597 | Florida |
Profile Details
| NPI number | 1205041951 |
|---|---|
| LBN Legal business name | Moore, Lewis Don |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205041951 | NPPES |
| Florida | Other | SW0003597 | STATE MEDICAL LICENSE |
| Florida | Other | Z5949 | STATE MEDICAL LICENSE |
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