| Shayne N Moyles DO Pl | |
|
1615 Pasadena Ave S Suite 100 South Pasadena FL 33707-4516 | |
| (727) 504-0044 | |
| Not Available |
| Full Name | Shayne N Moyles DO Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 1615 Pasadena Ave S, South Pasadena, Florida |
| Authorized Official Name and Position | Shayne Nicole Moyles (MANAGING MEMBER) |
| Authorized Official Contact | 7542343690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shayne N Moyles DO Pl Po Box 67061 Saint Petersburg FL 33736-7061 Ph: (727) 504-0044 | Shayne N Moyles DO Pl 1615 Pasadena Ave S Suite 100 South Pasadena FL 33707-4516 Ph: (727) 504-0044 |
| NPI Number | 1639325533 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 10/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639325533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS9968 (Florida) | Primary |
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