Janice Ann Moore, LMT
Individual provider Active NPI Naturopath · Riverview, FL
NPI 1457555807 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457555807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 43047 (FL)
- Practice address
- 13609 Aspen Ave
Riverview, FL 33569-9351 - Phone
- (813) 244-0360
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43047 | FL | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 43047 | FL | Yes |
Addresses
Primary practice location
13609 Aspen Ave
Riverview, FL 33569-9351
Mailing address
13609 Aspen Ave
Riverview, FL 33569-9351
Phone (813) 244-0360
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.