MEDICARE: MOMENT HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1376182329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOMENT HEALTH CARE INC

Provider Business Mailing Address
First Line	:	3559 SOMERSET CIR
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-2874
Country	:	US
Telephone Number	:	305-218-6915
Fax Number	:

Provider Business Practice Location Address
First Line	:	6464 N MIAMI AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-4520
Country	:	US
Telephone Number	:	305-218-6915
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANGER
Name	:	MR. MAURICE SPENCE
Credential	:
Telephone Number	:	305-218-6915

Provider Enumeration Date	:	12/21/2019
Last Update Date	:	08/28/2023

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Directions to “MOMENT HEALTH CARE INC ” Practice Location

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