MEDICARE: ANGELA COURTNEY MOORE ARNP

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	363LF0000X	Family Nurse Practitioner	9385349	FL

General Provider Information

NPI Number	:	1962911917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA COURTNEY MOORE ARNP

Provider Business Mailing Address
First Line	:	9850 SW 73RD ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-4630
Country	:	US
Telephone Number	:	305-934-2026
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 NW 7TH ST STE 750
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3490
Country	:	US
Telephone Number	:	305-587-1752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	09/21/2017

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Directions to “ ANGELA COURTNEY MOORE ARNP” Practice Location

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