Mr. Kenneth Moore
Mr. Kenneth Moore is a Skilled Nursing Facility in Saint Cloud, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2012
Practice location Address checks out
751 Orange AveSaint Cloud, FL 34769-3063
Phone: (407) 967-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 2083 (FL) |
|---|
Record details
| NPI number | 1134490766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2012 |
| Last updated in NPPES | January 12, 2012 |
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