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1760468250
BRIAN EUGENE MOORE
TAMPA, FL
NPI
1760468250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2005-12-16
Last Update Date
2007-07-08
Business Address
Mr. BRIAN EUGENE MOORE Physician Assistant
8415 BAYSHORE BLVD
TAMPA, FL 33621-1607
Phone number: 813-827-9548
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Mailing Address
Mr. BRIAN EUGENE MOORE Physician Assistant
27439 MISTFLOWER DR
WESLEY CHAPEL, FL 33543-7776
Phone number: 813-929-7753
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