Individual provider · Type 1 NPI

Brennan Moore

Surgical Physician Assistant · Orlando, FL

NPI number 1336973346 Active

Practice location

60 Columbia St
Orlando, FL 32806-1115

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPENDING (FL)
Physician Assistant 363A00000XNone listed

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About NPI 1336973346

Brennan Moore's National Provider Identifier is 1336973346, issued on Aug 30, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Sep 16, 2024.