Moore, Ronald Jason

Moore, Ronald Jason is an individual health care provider with primary practice located at 400 Celebration Pl , Celebration FL 34747-4970. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Moore, Ronald Jason can be contacted via phone (352) 598-4469.

Contact Information

Primary practice address
400 Celebration Pl Celebration FL 34747-4970
Phone: (352) 598-4469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102945 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102945 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 13064 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102945 Florida

Profile Details

NPI number 1316902679
LBN Legal business name Moore, Ronald Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated May 13th, 2025 - about last year

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 1316902679 NPPES
Florida MEDICAID 292533800
Florida Other Y04L4
Florida Other P00414081
Florida Other P00702090
Florida Other U4075

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