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Alicia Moore
NPI 1023143583 · on the registry since 2007 · sole proprietor
Practice
- Address
- 19219 Ridgelake Dr
Lutz, FL 33549 - Phone
- (813) 909-0609
- Fax
- (813) 874-0709
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida