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1164434494
AMY MOAN
ST PETERSBURG, FL
NPI
1164434494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101907)
Enumeration Date
2006-08-13
Last Update Date
2019-06-05
Business Address
AMY MOAN PA
601 7TH ST S STE 510
ST PETERSBURG, FL 33701-4736
Phone number: 727-828-6330
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Mailing Address
AMY MOAN PA
PO BOX 1289
TAMPA, FL 33601-1289
Phone number: 813-844-7000
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