IndividualActive
Alan Moudy
NPI 1316426257 · Sports Medicine (Family Medicine) Physician · Tallahassee, FL
Provider details
- NPI number
- 1316426257
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 11004124 (FL)
Practice location
1965 Capital Cir Ne Ste 200
Tallahassee, FL 32308-8402
Phone: (850) 656-2006
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Registry dates
- Enumerated
- 2018-08-10
- Last updated
- 2024-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.