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1316035413
SUSAN S MOORE
JACKSONVILLE, FL
NPI
1316035413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME92420)
Enumeration Date
2006-10-11
Last Update Date
2011-12-27
Business Address
-- SUSAN S MOORE MD
6271 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32217-2523
Phone number: 904-633-0460
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Mailing Address
-- SUSAN S MOORE MD
5396 HIDDEN GARDENS DR
JACKSONVILLE, FL 32258-4201
Phone number: 904-553-4644
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