Provider Demographics
NPI:1285031229
Name:MORE T CLININC LLC
Entity Type:Organization
Organization Name:MORE T CLININC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-949-0222
Mailing Address - Street 1:155 CRANES ROOST BLVD
Mailing Address - Street 2:SUITE 2060
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3468
Mailing Address - Country:US
Mailing Address - Phone:407-949-0222
Mailing Address - Fax:407-674-2500
Practice Address - Street 1:155 CRANES ROOST BLVD
Practice Address - Street 2:SUITE 2060
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3468
Practice Address - Country:US
Practice Address - Phone:407-949-0222
Practice Address - Fax:407-674-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7406207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty