Remis Mark Moore in Sarasota - Physician Assistant

Remis Mark Moore - NPI 1588653794

Remis Mark Moore is a Physician Assistant in Sarasota, Florida. Remis Mark Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Remis Mark Moore is 1588653794. The last update date is 2023-04-17.

Remis Mark Moore's current location address is 4440 Fruitville Rd, Sarasota, Florida. You can contact this provider via phone number 9413660134 and fax number 4805643762. The mailing address for Remis Mark Moore is 4440 Fruitville Rd, Sarasota, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Remis Mark Moore
Address 4440 Fruitville Rd, Sarasota, Florida
Phone Number 9413660134
Fax Number 4805643762
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1588653794
Provider Enumeration Date 2005-10-19
Last Updated Date 2023-04-17

Provider Mailing Address Detail

Address 4440 Fruitville Rd
City Sarasota
State Florida (FL)
Post Code 342321926
Phone Number 9413660134
Fax Number 4805643762

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9117098
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA9117098 FL FL DOH LICENSE

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FAQs about Remis Mark Moore

What is the unique provider identifier assigned to Remis Mark Moore?

The Remis Mark Moore has been issued the NPI (National Provider Identifier) 1588653794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Remis Mark Moore is located?

The Remis Mark Moore is situated at the following address: 4440 Fruitville Rd, Sarasota, FL, 342321926.

What is the Remis Mark Moore's specialty and taxonomy code?

The Remis Mark Moore's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did Remis Mark Moore receive its 1588653794 assignment from the Centers for Medicare & Medicaid Services?

The Remis Mark Moore was assigned its 1588653794 on 2005-10-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Remis Mark Moore's details last updated?

The information pertaining to the Remis Mark Moore, including its address, specialty, and other details, was most recently updated on 2023-04-17.

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