Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda K Moore DO PA

Organization Clinic/Center · NPI 1255733986

Brenda K Moore DO PA is a Clinic/Center in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1003 College Blvd W Ste #2
Niceville, FL 32578-1068
Phone: (850) 678-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence OS 12957 (FL)

Record details

NPI number1255733986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Moore — President · (832) 686-1965
NPI enumeratedSeptember 25, 2014
Last updated in NPPESSeptember 25, 2014
Mailing address1003 College Blvd W, Suite #2, Niceville, FL 32578-1068

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