Healthcare Provider Details

I. General information

NPI: 1598308744
Provider Name (Legal Business Name): MOOVMO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 BEACON PKWY W STE 204
BIRMINGHAM AL
35209-3128
US

IV. Provider business mailing address

651 BEACON PKWY W STE 204
BIRMINGHAM AL
35209-3128
US

V. Phone/Fax

Practice location:
  • Phone: 833-466-6866
  • Fax: 866-264-8161
Mailing address:
  • Phone: 833-466-6866
  • Fax: 866-264-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. DARYL PATRICK HARRIS
Title or Position: CEO/FOUNDER
Credential:
Phone: 833-466-6866