Reginald Moore

Contractor · Midway, FL

Individual Active NPI

NPI number 1346893237

Practice location

125 Hilltop Dr
Midway, FL 32343-2679
Phone
(850) 284-0213

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NPI record

NPI
1346893237
Entity type
Individual (Type 1)
Enumeration date
July 19, 2019
Last updated
July 19, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X JB275890 FL

About Reginald Moore

Reginald Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 125 Hilltop Dr, Midway, FL 32343-2679. The NPI number 1346893237 was assigned on July 19, 2019 and the record was last updated on July 19, 2019.

Reginald Moore lists a license in the registry: #JB275890 (FL) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Reginald Moore?

The NPI number is 1346893237.

What is the phone number of Reginald Moore?

The phone number listed for the practice location is (850) 284-0213.

Where is Reginald Moore located?

125 Hilltop Dr, Midway, FL 32343-2679.

What is the taxonomy code for Reginald Moore?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.