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Brenda K Moore Do Pa
Clinic/Center in Niceville, Florida
NPI 1255733986

Brenda K Moore Do Pa is a Clinic/Center based in Niceville, FL. Brenda K Moore Do Pa practices in Niceville, FL. The NPI Number for Brenda K Moore Do Pa is 1255733986 and holds a License No. OS 12957 (Florida).

The current practice location address for Brenda K Moore Do Pa is 1003 College Blvd W, Niceville, FL and can be reached out via phone at 850-678-0443.

Location: 1003 College Blvd W, Niceville, FL, 32578-1068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255733986
Provider Name
Brenda K Moore Do Pa
Credential
Provider Entity Type
Organization
Address
1003 College Blvd W, Niceville, FL, 32578-1068
Phone Number
850-678-0443
Fax Number
Provider Enumeration Date
09/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1003 College Blvd W
City
Niceville
State
Florida
Zip
32578-1068
Phone Number
850-678-0443
Fax Number
person
Provider Business Mailing Address Details
Address
1003 College Blvd W
City
Niceville
State
Florida
Zip
32578-1068
Phone Number
850-678-0443
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
OS 12957 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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