STEPHANIE REBEKAH MOORE

WELLMED MEDICAL MANAGEMENT OF FLORIDA INC

Dr STEPHANIE REBEKAH MOORE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

WELLMED MEDICAL MANAGEMENT OF FLORIDA INC

2020 FLAMINGO DR
BARTOW
FL
338304262

Tel: 8635334104

STEPHANIE REBEKAH MOORE Information

Npi 1417282542
Pac Id 8820339559
Professional Enrollment Id I20190408000738
Last Name MOORE
First Name STEPHANIE
Middle Name REBEKAH
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLMED MEDICAL MANAGEMENT OF FLORIDA INC
Group Practice Pac Id 3971678558
Number Of Group Practice Members 120
Line 1 Street Address 2020 FLAMINGO DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BARTOW
State FL
Zip Code 338304262
Phone Number 8635334104
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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