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Search › Florida › 104100000X

Mary Moore

NPI 1205090628 · on the registry since 2008 · sole proprietor

Practice

Address
5707 N 22nd St
Tampa, FL 33610
Phone
(813) 272-2878
Fax
(813) 272-3766
Organisation at this address
Gracepoint Mhc
Ibis Healthcare Inc
Ibis Healthcare Inc
Ibis Healthcare Inc
Ibis Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
590

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-15

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