| Moon Family Practice Llc | |
|
7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 | |
| (407) 352-1303 | |
| (407) 352-3833 |
| Full Name | Moon Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7448 Docs Grove Cir, Orlando, Florida |
| Authorized Official Name and Position | Musarrat Pasha Moon (PRESIDENT) |
| Authorized Official Contact | 4073521303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Family Practice Llc 7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 Ph: (407) 352-1303 | Moon Family Practice Llc 7448 Docs Grove Cir Suite 200 Orlando FL 32819-8010 Ph: (407) 352-1303 |
| NPI Number | 1649209917 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 11/11/2009 |
| Medicare PECOS PAC ID | 4183626443 |
|---|---|
| Medicare Enrollment ID | O20070215000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649209917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME74705 (Florida) | Primary |
| Provider Name | Musarrat Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275578734 PECOS PAC ID: 6305848151 Enrollment ID: I20070207000117 |
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