Jennifer Moore, PA
NPI #1790781052 in Temple Terrace, Florida
Provider Information
- NPI Number
- 1790781052
- Entity Type
- Individual
- Name
- Jennifer Moore, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Mar 31, 2011
Practice Location
- Address
- 13020 N TELECOM PKWY
- City
- Temple Terrace
- State
- Florida
- ZIP Code
- 33637-0925
- Phone
- (813) 978-9700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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