| Dr Angela Leigh Moore, DC | |
|
3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 | |
| (479) 466-7717 | |
| Not Available |
| Full Name | Dr Angela Leigh Moore |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 3751 S Clyde Morris Blvd Unit 7, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073751830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH 11081 (Florida) | Primary |
| 111N00000X | Chiropractor | 15629 (Arkansas) | Secondary |
| Provider Name | Moore & Menneto Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215447438 PECOS PAC ID: 7416209309 Enrollment ID: O20181003002432 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Leigh Moore, DC 3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 Ph: (479) 466-7717 | Dr Angela Leigh Moore, DC 3751 S Clyde Morris Blvd Unit 7, Port Orange, FL 32129-2356 Ph: (479) 466-7717 |
Ms. Erica Elizabeth Adams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4904 Clyde Morris Blvd Ste A, Port Orange, FL 32129 Phone: 386-307-8207 | |
Dr. Carl Francesco Stephens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4705 S Clyde Morris Blvd, Port Orange, FL 32129 Phone: 386-763-2768 | |
Dr. Kyna Renee Sanchez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 803 Banbury Dr, Port Orange, FL 32129 Phone: 315-593-4655 | |
Dr. Melanie Leichty, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3835 Clyde Morris Blvd Unit 17108, Port Orange, FL 32129 Phone: 317-954-3514 | |
Garrett Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1409 Royal Grove Ln, Port Orange, FL 32129 Phone: 386-795-8700 | |
Dr. Jeffery Kyle Clifton, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 Dunlawton Ave Ste 4d, Port Orange, FL 32127 Phone: 386-760-6150 Fax: 386-788-1998 | |
Gabriel Jacob Garrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1103 Nature View Cir, Port Orange, FL 32128 Phone: 854-812-5273 |