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Contact Information

JOHN C MOORE III, MD
1033 N PARKWAY FRONTAGE RD
LAKELAND, FL33803
 Phone: 863-647-8011
 Fax: 863-647-8029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JOHN C MOORE III · (Male)

NPI # 1659344968
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 02/16/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME27037
  • FL Medicaid 066805200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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