IndividualActive
Roberta Moore, ARNP-C
NPI 1629316625 · Adult Health Nurse Practitioner · Lakeland, FL
Provider details
- NPI number
- 1629316625
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN9203856 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone: (863) 687-1100
Approximate (ZIP-level) locationGet directions
Mailing address
13801 Bruce B Downs Blvd
Tampa, FL 33613-3911
Additional practice locations (2)
- 130 Pablo StLakeland, FL 33803-3818Phone: (863) 687-1100
- 3010 E 138th AveSuite 12Tampa, FL 33613-3904Phone: (813) 975-2800Fax: (813) 977-7631
Registry dates
- Enumerated
- 2013-01-25
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.