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Search › Florida › 207R00000X

Nikenston Moise, PA

NPI 1205498250 · on the registry since 2019

Practice

Address
3890 Turtle Creek Dr Ste C
Port Orange, FL 32127
Phone
(386) 756-4400
Organisation at this address
Port Orange Internists Pa
Health First Primary Care L.L.C
Great Strides Rehabilitation Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
PR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-30

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