Ms Donna Ruth Moore-boatwright, | |
2762 Dora Ave, Tavares, FL 32778-4970 | |
(352) 742-7837 | |
(352) 742-7837 |
Full Name | Ms Donna Ruth Moore-boatwright |
---|---|
Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 2762 Dora Ave, Tavares, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932298437 | NPI | - | NPPES |
889168100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | OT 10107 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Donna Ruth Moore-boatwright, 2762 Dora Ave, Tavares, FL 32778-4970 Ph: (352) 742-7837 | Ms Donna Ruth Moore-boatwright, 2762 Dora Ave, Tavares, FL 32778-4970 Ph: (352) 742-7837 |
News Archive
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