Mark Thomas Moore, D.C.
Chiropractor in Sarasota, FL. Individual provider (NPI-1).
NPI number1861693699
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861693699
- Entity type
- Individual (NPI-1)
- Name
- Mark Thomas Moore
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH7142 | FL | Yes |
Practice location
4054 Sawyer RdSarasota, FL 34233-1272
Phone 941-552-1189 · Fax 941-365-8635
Mailing address
4054 Sawyer RdSarasota, FL 34233-1272
Phone 941-552-1189 · Fax 941-365-8635
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