Shane D Moore III
Shane D Moore III is a Social Worker in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
5707 N 22nd StTampa, FL 33610-4350 Not confirmed with CMS for 18 years — call before visiting
Phone: (813) 272-2878
Fax: (813) 272-3766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1639333669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2008 |
| Last updated in NPPES | July 18, 2008 |
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