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Contact Information

JEFFREY M MOORE OD PA
1444 TAMIAMI TRAIL
481
PORT CHARLOTTE, FL33948
 Phone: 941-255-0588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY M MOORE OD PA

NPI Number 1568537454
LBN Legal business name JEFFREY M MOORE OD PA
Authorized official JEFFREY MOORE - (OWNER OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 01/12/2009 - About 17 years ago
Identifiers
FL License # OPC1680
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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