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 3 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