GLORIA Z. MOORE D.C., P.A.
Ambulatory Health at Whitehall Dr, Saint Augustine, FL

License number
Florida CH 6819
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. GLORIA Z. MOORE D.C.
Title: PRESIDENT
Phone: (904) 794-0909
Address
Address
101 Whitehall Dr SUITE 102, Saint Augustine, FL 32086
National Provider ID: 1417196106
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Gloria Z. Moore, D.C., PA

Saint Augustine, FL

Registration:
Nov 10, 1994
Addresses:
101 Whitehall Dr, Saint Augustine, FL 32086
69 S Dixie Hwy, Saint Augustine, FL 32084
State ID:
P94000083731
Business type:
Domestic for Profit Corporation
Director:
Gloria Z. Moore (Director)

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