Provider Demographics
NPI:1629269428
Name:MOORE, KAREN FREDI (MSED)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:FREDI
Last Name:MOORE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10827 LA SALINAS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1236
Mailing Address - Country:US
Mailing Address - Phone:561-852-5731
Mailing Address - Fax:561-218-3457
Practice Address - Street 1:10827 LA SALINAS CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1236
Practice Address - Country:US
Practice Address - Phone:561-852-5731
Practice Address - Fax:561-218-3457
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist