| Moore Medical Group Inc | |
|
801 International Pkwy Ste 500 Lake Mary FL 32746-4763 | |
| (407) 493-3549 | |
| Not Available |
| Full Name | Moore Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 801 International Pkwy Ste 500, Lake Mary, Florida |
| Authorized Official Name and Position | Eric A Moore (CEO/ CJIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4074963549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Medical Group Inc 801 International Pkwy Ste 500 Lake Mary FL 32746-4763 Ph: (407) 493-3549 | Moore Medical Group Inc 801 International Pkwy Ste 500 Lake Mary FL 32746-4763 Ph: (407) 493-3549 |
| NPI Number | 1871117572 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Medicare PECOS PAC ID | 9638354889 |
|---|---|
| Medicare Enrollment ID | O20200911000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871117572 | NPI | - | NPPES |
| Provider Name | Krishna Uppu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265567325 PECOS PAC ID: 1052365608 Enrollment ID: I20050308000340 |
| Provider Name | Armando Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376567701 PECOS PAC ID: 4688754294 Enrollment ID: I20080109000178 |
| Provider Name | Elizabeth S Collie-mickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356578348 PECOS PAC ID: 7810163078 Enrollment ID: I20120110000594 |
| Provider Name | Lyntressa Danielle Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083955793 PECOS PAC ID: 3375784911 Enrollment ID: I20130724000965 |
| Provider Name | Joanna Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558791434 PECOS PAC ID: 8325359565 Enrollment ID: I20150615002467 |
| Provider Name | Marie M Collazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640356 PECOS PAC ID: 3476863994 Enrollment ID: I20151112000504 |
| Provider Name | Estherline Exume-noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437518933 PECOS PAC ID: 1052677697 Enrollment ID: I20171114002671 |
| Provider Name | Sarah Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225501653 PECOS PAC ID: 8022356179 Enrollment ID: I20190214002062 |
| Provider Name | Millian Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114403631 PECOS PAC ID: 5193152619 Enrollment ID: I20200224000610 |
| Provider Name | Yiny Poveda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396166849 PECOS PAC ID: 8022489095 Enrollment ID: I20230130002725 |
| Provider Name | Brandy Fedewa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790047827 PECOS PAC ID: 3476906736 Enrollment ID: I20240202000889 |
| Provider Name | Edward Kuhnley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366443434 PECOS PAC ID: 2668494972 Enrollment ID: I20240219002876 |
| Provider Name | Bertine Jeanlaurent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881415123 PECOS PAC ID: 1850801077 Enrollment ID: I20250606003029 |
Breanna Simanton Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 International Pkwy Ste 500, Lake Mary, FL 32746 Phone: 321-233-5565 | |
Live Life Counseling And Consuliting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 International Pkwy Ste 2000, Lake Mary, FL 32746 Phone: 321-689-9148 | |
Luminous Mind Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 S International Pkwy Ste 2471, Lake Mary, FL 32746 Phone: 321-578-7378 | |
Sunshine Spectrum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Rinehart Rd Ste 2178, Lake Mary, FL 32746 Phone: 407-744-3657 Fax: 855-372-4953 | |
Evernorth Behavioral Care Group Of Florida, P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Technology Park, Lake Mary, FL 32746 Phone: 877-501-7991 | |
Dr Luisa Vega Dnp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Charis Neurology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Primera Blvd Ste 1031, Lake Mary, FL 32746 Phone: 407-603-1633 Fax: 321-204-7073 |