Jeffrey M Moore Od PA

NPI #1568537454 in Pt Charlotte, Florida

Provider Information

NPI Number: 1568537454
Entity Type: Organization
Organization Name: Jeffrey M Moore Od PA
Primary Specialty: Optometrist
Enumeration Date: Nov 24, 2006
Last Updated: Jan 12, 2009

Practice Location

Address: 1444 TAMIAMI TRAIL
Address 2: 481
City: Pt Charlotte
State: Florida
ZIP Code: 33948
Phone: (941) 255-0588

Authorized Official

Name: DR. JEFFREY M MOORE, OD
Title: OWNER OPTOMETRIST
Phone: (941) 255-0588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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