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NPI Code Detail

MEDICARE: BERNARD FREEMAN MOYE ARNP-BC

MEDICARE: BERNARD FREEMAN MOYE ARNP-BC
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
1363L00000XNurse PractitionerARNP3053522FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386675635
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNARD FREEMAN MOYE ARNP-BC
Provider Business Mailing Address
First Line : 11528 U S HWY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-868-8251
Provider Business Practice Location Address
First Line : 11528 U S HWY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-868-8251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 01/22/2010

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Directions to “ BERNARD FREEMAN MOYE ARNP-BC” Practice Location

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