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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205041951 NPPES
Florida Other SW0003597 STATE MEDICAL LICENSE
Florida Other Z5949 STATE MEDICAL LICENSE

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