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1215973201
JAY PAUL MOULTON
TAMPA, FL
NPI
1215973201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL PA9102960)
Enumeration Date
2006-06-20
Last Update Date
2009-08-03
Business Address
-- JAY PAUL MOULTON PA-C
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-870-4000
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Mailing Address
-- JAY PAUL MOULTON PA-C
PO BOX 10030
DAYTONA BEACH, FL 32120-0030
Phone number: 386-274-7800
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