1972600054

Everything you always wanted to know about MOIR A PAUL MD but were afraid to ask.

MOIR A PAUL MD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
MOIR A PAUL MD
Gender:
Male
Enumeration date:
2006-09-20
Last update date:
2013-01-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
H25636 Medicare UPIN none FL
35585Z Medicare ID-Type Undpecified none FL
260095100 Medicaid none FL
930097039 Other RAILROAD MEDICARE FL
130050632A Medicaid none GA
35585 Other BCBS FL

Taxonomies

Taxonomy State License Number Primary?
207Q00000X Family Medicine FL ME0076950 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8002888325
Practice Location Address Telephone Number 9043087300
Mailing Address Fax Number 4198665453
Practice Location Address Fax Number 9043460113

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 863026 ORLANDO FL 32886 FL
Practice Location Address 1 SHIRCLIFF WAY JACKSONVILLE FL 0 FL

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