Individual ProviderJenine L MooreOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1143 Trotwood Blvd, Winter Springs, FL 32708-6215(561) 568-0836(407) 201-7429PECOS EnrollmentBased on the most recent information from CMS, provider Jenine L Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 42 days ago.Profile DetailsProvider ID1023729175Provider TypeIndividualFull NameMoore, Jenine LGenderFemaleSole ProprietorYesEnumeration Date12/9/2022Last Updated3/22/2023Contact InformationPractice LocationPractice Address1143 Trotwood Blvd, Winter Springs, FL 32708-6215Phone(561) 568-0836FaxUnlisted FaxMailing LocationMailing Address1200 N Central Ave, Kissimmee, FL 34741-4450Phone(407) 201-7429Fax(877) 399-5578Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT24052Florida