Individual provider · Type 1 NPI

Sidney Celine Moore, PHYSICIAN ASSISTANT

Physician Assistant · Port St. Lucie, FL

NPI number 1194699199 Active

Practice location

10000 SW Innovation Way
Port St. Lucie, FL 34987-2111

Call (772) 345-8100 Map

Mailing address

4850 Millenia Blvd
Orlando, FL 32839-6012

Other practice locations

  • 200 SE Hospital Ave, Stuart, FL 34994-2346 · (772) 287-5200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

64 other providers at this address

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About NPI 1194699199

Sidney Celine Moore, PHYSICIAN ASSISTANT's National Provider Identifier is 1194699199, issued on Oct 2, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 12, 2026.