Moore, James

Moore, James is an individual health care provider with primary practice located at 310 Amberjack Pl , Melbourne Beach FL 32951-2906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Moore, James can be contacted via phone (321) 684-1193.

Contact Information

Primary practice address
310 Amberjack Pl Melbourne Beach FL 32951-2906
Phone: (321) 684-1193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103288 Florida

Profile Details

NPI number 1053302059
LBN Legal business name Moore, James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 21st, 2022 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053302059 NPPES
Florida MEDICAID 003500000

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