Organization · Type 2 NPI

Brenda K Moore Do PA

Clinic/Center · Niceville, FL

NPI number 1255733986 Active

Practice location

1003 College Blvd W, Suite #2
Niceville, FL 32578-1068

Call (850) 678-0443 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XOS 12957 (FL)

Clinic/Center: 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).

4 other providers at this address

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About NPI 1255733986

Brenda K Moore Do PA's National Provider Identifier is 1255733986, issued on Sep 25, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Niceville, FL. The record was last updated on Sep 25, 2014.