NANCY MOODY

LAKELAND, FL
NPI1639193899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA2377)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- NANCY MOODY PA
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1132
Mailing Address
-- NANCY MOODY PA
4281 OLD NINE FOOT ROAD
EAGLE LAKE, FL 33829
Phone number: 863-294-9223
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