Individual provider · Type 1 NPI

Benjamin E. Moore, MD

Specialist · Jacksonville, FL

NPI number 1558342196 Active

Practice location

2 Shircliff Way, Ste 925
Jacksonville, FL 32204-4753

Call (904) 387-6116 Map

Fax (904) 387-6118

Mailing address

PO Box 17809
Jacksonville, FL 32245-7809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME39355 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1558342196

Benjamin E. Moore, MD's National Provider Identifier is 1558342196, issued on Nov 10, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 9, 2012.