Individual provider · Type 1 NPI

Jacob John Moody

Student in an Organized Health Care Education/Training Program · Tamarac, FL

NPI number 1235998790 Active

Practice location

7201 N University Dr
Tamarac, FL 33321-2913

Call (954) 724-6540 Map

Fax (954) 597-4430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235998790

Jacob John Moody's National Provider Identifier is 1235998790, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tamarac, FL. The record was last updated on Mar 18, 2024.