Moore, Marina Michelle

Moore, Marina Michelle is an individual health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moore, Marina Michelle can be contacted via phone (772) 567-4311.

Contact Information

Primary practice address
1000 36Th St Vero Beach FL 32960-4862
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME167339 Florida

Profile Details

NPI number 1427200708
LBN Legal business name Moore, Marina Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Jan 12th, 2025 - about last year

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 1427200708 NPPES
Florida Other ME167339 FLORIDA MEDICAL LICENSE

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