Moon, Thomas J

Moon, Thomas J is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Moon, Thomas J can be contacted via phone (352) 627-9350.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 627-9350
Fax: (352) 273-9054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME113107 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME113107 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X DR47006 Colorado

Profile Details

NPI number 1982821799
LBN Legal business name Moon, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Apr 28th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982821799 NPPES
Florida MEDICAID 005915000
Florida Other 14KY8
Florida MEDICAID 003125542A

Popular Providers