Moore, Perry Alan

Moore, Perry Alan is an individual health care provider with primary practice located at 258 S Chickasaw Trl Ste 200 , Orlando FL 32825-3501. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, Perry Alan can be contacted via phone (407) 303-6865.

Contact Information

Primary practice address
258 S Chickasaw Trl Ste 200 Orlando FL 32825-3501
Phone: (407) 303-6865
Fax: (407) 303-6537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101891 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101891 Florida

Profile Details

NPI number 1447241831
LBN Legal business name Moore, Perry Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 26th, 2016 - about 10 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 1447241831 NPPES
Florida MEDICAID 291760200

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