Provider Demographics
NPI:1548530868
Name:MOORE, DEBRA M (DVM)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:M
Last Name:MOORE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4573
Mailing Address - Country:US
Mailing Address - Phone:352-726-2460
Mailing Address - Fax:352-726-9134
Practice Address - Street 1:155 HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4573
Practice Address - Country:US
Practice Address - Phone:352-726-2460
Practice Address - Fax:352-726-9134
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM6626174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian