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Gloria Z. Moore D.c., P.a.
Clinic/Center in St Augustine, Florida
NPI 1417196106

Gloria Z. Moore D.c., P.a. is a Clinic/Center based in St Augustine, FL. Gloria Z. Moore D.c., P.a. practices in St Augustine, FL. The NPI Number for Gloria Z. Moore D.c., P.a. is 1417196106 and holds a License No. CH 6819 (Florida).

The current practice location address for Gloria Z. Moore D.c., P.a. is 101 Whitehall Dr, St Augustine, FL and can be reached out via phone at 904-794-0909 and via fax at 904-794-6700.

Location: 101 Whitehall Dr, St Augustine, FL, 32086-5268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417196106
Provider Name
Gloria Z. Moore D.c., P.a.
Credential
Provider Entity Type
Organization
Address
101 Whitehall Dr, St Augustine, FL, 32086-5268
Phone Number
904-794-0909
Fax Number
904-794-6700
Provider Enumeration Date
02/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508814856 01 FL NPI
institution
Provider Business Practice Location Address Details
Address
101 Whitehall Dr
City
St Augustine
State
Florida
Zip
32086-5268
Phone Number
904-794-0909
Fax Number
904-794-6700
person
Provider Business Mailing Address Details
Address
101 Whitehall Dr
City
St Augustine
State
Florida
Zip
32086-5268
Phone Number
904-794-0909
Fax Number
904-794-6700
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CH 6819 (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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