Individual provider · Type 1 NPI

Taryll Leon Moore Jr.

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1477460327 Active

Practice location

3300 S University Dr
Fort Lauderdale, FL 33328-2004

Call (954) 262-1101 Map

Mailing address

6250 Griffin Rd Rm 401D
Davie, FL 33314-4421

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477460327

Taryll Leon Moore Jr.'s National Provider Identifier is 1477460327, issued on Aug 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 26, 2026.