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1417924754
TONY L. MOFFITT
LAKELAND, FL
NPI
1417924754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP1871332)
Enumeration Date
2006-03-07
Last Update Date
2007-07-09
Business Address
-- TONY L. MOFFITT NP
3810 DRANE FIELD RD UNIT 15
LAKELAND, FL 33811-1204
Phone number: 863-646-8468
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Mailing Address
-- TONY L. MOFFITT NP
1624 KING JAMES CT
LAKELAND, FL 33813-2923
Phone number: 863-670-0114
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