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1265697304
ROOSEVELT MOORE
FORT LAUDERDALE, FL
NPI
1265697304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT14852)
Enumeration Date
2008-07-28
Last Update Date
2008-07-28
Business Address
Mr. ROOSEVELT MOORE RPT
6883 SW 194TH AVE
FORT LAUDERDALE, FL 33332-1638
Phone number: 305-968-5622
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Mailing Address
Mr. ROOSEVELT MOORE RPT
6883 SW 194TH AVE
FORT LAUDERDALE, FL 33332-1638
Phone number: 305-968-5622
Copy
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