| Gloria Z. Moore D.c., P.a. | |
|
101 Whitehall Dr Suite 102 St Augustine FL 32086-5268 | |
| (904) 794-0909 | |
| (904) 794-6700 |
| Full Name | Gloria Z. Moore D.c., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Whitehall Dr, St Augustine, Florida |
| Authorized Official Name and Position | Gloria Z. Moore (PRESIDENT) |
| Authorized Official Contact | 9047940909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Z. Moore D.c., P.a. 101 Whitehall Dr Suite 102 St Augustine FL 32086-5268 Ph: (904) 794-0909 | Gloria Z. Moore D.c., P.a. 101 Whitehall Dr Suite 102 St Augustine FL 32086-5268 Ph: (904) 794-0909 |
| NPI Number | 1417196106 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Medicare PECOS PAC ID | 4385701150 |
|---|---|
| Medicare Enrollment ID | O20090323000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417196106 | NPI | - | NPPES |
| 1508814856 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 6819 (Florida) | Primary |
| Provider Name | Gloria Z Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508814856 PECOS PAC ID: 3971660895 Enrollment ID: I20090320000310 |
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