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1326076274
WISTAR MOORE
PANAMA CITY, FL
NPI
1326076274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: FL ME64685)
Enumeration Date
2006-06-29
Last Update Date
2022-03-01
Business Address
WISTAR MOORE M.D.
801 E 6TH ST STE 307
PANAMA CITY, FL 32401-3663
Phone number: 850-785-9559
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Mailing Address
WISTAR MOORE M.D.
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6063
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