Gloria Z. Moore D.c., P.a.

NPI 1417196106 - Clinic/Center - 261Q00000X

NPI Details
NPI 1417196106
Enumeration Date 02/19/2009
Last Updated 02/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GLORIA Z. GLORIA
Position PRESIDENT
Phone (904) 794-0909
Fax (904) 794-6700
Practice Location
101 WHITEHALL DR
SUITE 102
ST AUGUSTINE FL, 32086-5268, US
Phone (904) 794-0909
Fax (904) 794-6700
Business Location
101 WHITEHALL DR
SUITE 102
ST AUGUSTINE FL, 32086-5268, US
Phone (904) 794-0909
Fax (904) 794-6700
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number CH 6819
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According to our database, Gloria Z. Moore D.c., P.a. NPI is 1417196106, taxonomy code is 261Q00000X and license number is CH 6819, license state is located at Florida. Gloria Z. Moore D.c., P.a. physically located at 101 Whitehall Dr, St Augustine FL, 32086-5268. NPI Number 1033115704 has the healthcare provider type.

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1417196106 NPI number is provided on an as is basis without warranty of any kind. 1417196106 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria Z. Moore D.c., P.a. are for informational purposes only.