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1134424906
KELLY MOORE
TAMPA, FL
NPI
1134424906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9351074)
Enumeration Date
2011-01-25
Last Update Date
2022-12-05
Business Address
KELLY MOORE APRN
3919 RIGA BLVD
TAMPA, FL 33619-1345
Phone number: 813-558-9500
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Mailing Address
KELLY MOORE APRN
101 S BAYSHORE BLVD STE 43
SAFETY HARBOR, FL 34695-4028
Phone number: 812-887-3738
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