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1497901029
ANTHONY ALLEN MOORE
ORLANDO, FL
NPI
1497901029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PAT9104697)
Enumeration Date
2008-08-14
Last Update Date
2022-07-21
Business Address
-- ANTHONY ALLEN MOORE PA
4215 EDGEWATER DR
ORLANDO, FL 32804-2206
Phone number: 855-582-7747
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Mailing Address
-- ANTHONY ALLEN MOORE PA
695 US HIGHWAY 46 STE 400A
FAIRFIELD, NJ 07004-1568
Phone number: 973-894-1265
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