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MOON FAMILY PRACTICE LLC NPI 1649209917


NPI Information

NPI: 1649209917
Provider Name: MOON FAMILY PRACTICE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2098079

Address:
7448 DOCS GROVE CIR
SUITE 200
ORLANDO, FL
ZIP 32819
Phone: (407) 352-1303
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MOON FAMILY PRACTICE LLC is a family medicine in Orlando, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOON FAMILY PRACTICE LLC NPI is 1649209917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7448 DOCS GROVE CIR
SUITE 200
ORLANDO, FL
ZIP 32819-010
Phone: (407) 352-1303
Fax: (407) 352-3833

The provider's authorized official is Musarrat Pasha Moon .
The authorized official title is President and has the following contact phone number (407) 352-1303.

The CLIA number assigned to this NPI record is 10D2098079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME74705FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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