Individual provider · Type 1 NPI
James Moore, P.A.
Surgical Physician Assistant · Melbourne Beach, FL
NPI number
1053302059
Active
Practice location
310 Amberjack Pl
Melbourne Beach, FL 32951-2906
Mailing address
PO Box 510764
Melbourne Beach, FL 32951-0764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA9103288 (FL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1053302059
James Moore, P.A.'s National Provider Identifier is 1053302059, issued on Oct 31, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Melbourne Beach, FL. The record was last updated on Jul 21, 2022.