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

Melzie Jonathan Moore

Individual provider Physical Therapy Assistant · NPI 1164082418

Melzie Jonathan Moore is a Physical Therapy Assistant in Plant City, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

701 N Wilder Rd
Plant City, FL 33566-7547
Phone: (813) 752-3611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 29303 (FL)

Record details

NPI number1164082418
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019
Mailing address701 N Wilder Rd, Plant City, FL 33566-7547

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