Bonnie Moore, PA-C
Physician Assistant in Zephyrhills, FL. Individual provider (NPI-1).
NPI number1528097375
StatusActive
Last updated in NPPESJan 4, 2008
Details
- NPI
- 1528097375
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Moore
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2006
- Last updated
- Jan 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101875 | FL | Yes |
Practice location
38029 Arbor Ridge DrZephyrhills, FL 33540-1301
Phone 813-783-3811 · Fax 813-788-1087
Mailing address
38135 Market SqZephyrhills, FL 33542-7505
Phone 813-780-1255 · Fax 813-780-9773
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All 32 Physician Assistant providers in Zephyrhills · All 1,206 providers in Zephyrhills
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