Individual provider · Type 1 NPI

Anthony Allen Moore, PA

Surgical Physician Assistant · Orlando, FL

NPI number 1497901029 Active

Practice location

4215 Edgewater Dr
Orlando, FL 32804-2206

Call (855) 582-7747 Map

Fax (888) 972-4761

Mailing address

695 US Highway 46 Ste 400A
Fairfield, NJ 07004-1568

Other practice locations

701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-5595 · (321) 868-5871
699 W Cocoa Beach Cswy Ste 505, Cocoa Beach, FL 32931-3562 · (321) 868-5871
8745 N Wickham Rd, Melbourne, FL 32940-5997 · (321) 868-5871
8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 · (321) 868-5871

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	PAT9104697 (FL)
Surgical Physician Assistant Primary	363AS0400X	PA9104697 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1497901029

Anthony Allen Moore, PA's National Provider Identifier is 1497901029, issued on Aug 14, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Jul 23, 2026.