Search › Florida › 363LF0000X
Mary Moore, PMHNP
NPI 1508221284 · on the registry since 2015 · sole proprietor
Practice
- Address
- 401 Cecil G Costin Sr Blvd
Port St Joe, FL 32456 - Phone
- (850) 229-1043
- Organisation at this address
- Pancare Of Florida, Inc
Pancare Of Florida, Inc
Pancare Of Florida, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 20370 Ne Burns Ave, Blountstown, FL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-19
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