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NPI Code Detail

MEDICARE: LINDA MOORE-SHORT

MEDICARE:   LINDA  MOORE-SHORT
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1548616055
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MOORE-SHORT
Provider Business Mailing Address
First Line : 390 NORTH OANGE AQVE
Second Line :
City : ORLANDO
State : FL
Zip : 32836
Country : US
Telephone Number : 877-646-3374
Fax Number :
Provider Business Practice Location Address
First Line : 390 N ORANGE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32801-1640
Country : US
Telephone Number : 877-646-2374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2016
Last Update Date : 05/13/2016

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Directions to “ LINDA MOORE-SHORT ” Practice Location

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