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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT WALLACE MOORE JR., M.D.

Active Sole Proprietor

MR. ROBERT WALLACE MOORE JR., M.D. is a Orthopaedic Surgery healthcare provider located in DESTIN, Florida. NPI 1487918413 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · DESTIN, FL

Registration Details

NPI Number
1487918413
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2012 (14.183012154878 yrs)
Last Updated
Jun 25, 2012
Licenses
6287 (AL)
6287 (AL)
Sole Proprietor
Yes

Practice Information

Address
4563 LANDFALL CT
DESTIN, FL, 325415313
Browse FL providers · Browse ZIP 32541
Phone
8506505784
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Trauma

Other Orthopaedic Surgery Providers in DESTIN, FL

Name Credential NPI
DOUGLAS DWIGHT PORTER M.D. 1689900243
JACOB HAWKINS M.D. 1154855500
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.