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Ethan Mooney, ATC
NPI 1790466969 · on the registry since 2023
Practice
- Address
- 3320 Dairy Rd
Melbourne, FL 32904 - Phone
- (321) 745-0579
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-31
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