Clea J Moore, MD
Family Medicine in Winter Park, Florida
1104352954- Practice location
- 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111
- Phone
- 407-646-7070
- Fax
- —
- Last updated
- November 21, 2024
Clea J Moore is a Family Medicine based in Winter Park, FL. Clea J Moore practices in Winter Park, FL and has the professional credentials of MD. The NPI Number for Clea J Moore is 1104352954 and holds a License No. 283905 (MA). The current practice location address for Clea J Moore is 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111 and can be reached out via phone at 407-646-7070.
Provider Profile Details
- NPI Number
- 1104352954
- Provider Name
- Clea J Moore
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111
- Phone Number
- 407-646-7070
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2017
- Last Update Date
- November 21, 2024
- Certification Date
- November 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Benmore Dr Ste 200
Winter Park, FL 32792-4111 - City
- Winter Park
- State
- Florida
- Zip
- 32792-4111
- Phone Number
- 407-646-7070
Provider Business Mailing Address Details
- Address
- 133 Benmore Dr Ste 200
Winter Park, FL 32792-4111 - City
- Winter Park
- State
- FL
- Zip
- 32792-4111
- Phone Number
- 407-646-7070
License Information
- License Number (1)
- 283905
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- ME161392
- License State (3)
- FL
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clea J Moore, MD?
The NPI number of Clea J Moore, MD is 1104352954. It was assigned on May 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Clea J Moore, MD?
Clea J Moore, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 283905.
Where does Clea J Moore, MD practice?
The practice location is 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111. The office can be reached at 407-646-7070 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104352954 directly on the NPPES registry website.