| Brenda K Moore DO PA | |
|
1003 College Blvd W Suite #2 Niceville FL 32578-1068 | |
| (850) 678-0443 | |
| Not Available |
| Full Name | Brenda K Moore DO PA |
|---|---|
| Speciality | Clinic/center |
| Location | 1003 College Blvd W, Niceville, Florida |
| Authorized Official Name and Position | Brenda Kay Moore (PRESIDENT) |
| Authorized Official Contact | 8326861965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda K Moore DO PA 1003 College Blvd W Suite #2 Niceville FL 32578-1068 Ph: (850) 678-0443 | Brenda K Moore DO PA 1003 College Blvd W Suite #2 Niceville FL 32578-1068 Ph: (850) 678-0443 |
| NPI Number | 1255733986 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255733986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OS 12957 (Florida) | Primary |
White Wilson Med Ctr-bwb FP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Highway 20, Family Practice Department, Niceville, FL 32578 Phone: 850-897-4400 Fax: 850-897-0623 |
Rose Family Healthcare, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 E Highway 20 Ste 207, Niceville, FL 32578 Phone: 850-806-2440 |
Emerald Coast Health Institute, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20, Niceville, FL 32578 Phone: 850-279-6949 Fax: 850-279-6957 |
Pat T. Tidwell MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4554 Highway 20 East, Niceville, FL 32578 Phone: 850-678-6735 Fax: 850-678-8078 |
Michael P Roberts MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 College Blvd W Ste D, Niceville, FL 32578 Phone: 850-389-8333 Fax: 850-279-6031 |
Mark E. Schroeder M.d.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 College Blvd W, Suite C, Niceville, FL 32578 Phone: 850-678-3994 |