Healthcare Provider Details

I. General information

NPI: 1033084629
Provider Name (Legal Business Name): P.L. MOORE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 E COLUMBUS DR
TAMPA FL
33605-2724
US

IV. Provider business mailing address

7513 TANGLE BEND DR
GIBSONTON FL
33534-5365
US

V. Phone/Fax

Practice location:
  • Phone: 813-323-5961
  • Fax:
Mailing address:
  • Phone: 813-330-5932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. PRICETTA L. MOORE
Title or Position: OWNER
Credential:
Phone: 813-330-5932