Dr Robert M Moore, MD | |
14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 | |
(904) 886-2251 | |
(904) 886-7151 |
Full Name | Dr Robert M Moore |
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Gender | Male |
Speciality | Surgery |
Location | 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598050064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.0060237 (Colorado) | Secondary |
208600000X | Surgery | 91477 (South Carolina) | Secondary |
208600000X | Surgery | ME166267 (Florida) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
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Dr Robert M Moore, MD 11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627 Ph: (904) 396-1725 | Dr Robert M Moore, MD 14540 Old Saint Augustine Rd Ste 2571, Jacksonville, FL 32258-7420 Ph: (904) 886-2251 |
Timothy Edward Fee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4147 Southpoint Dr E, Jacksonville, FL 32216 Phone: 904-332-6774 Fax: 904-332-9137 | |
Meredith Tinti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3627 University Blvd S Ste 500, Jacksonville, FL 32216 Phone: 904-596-0760 | |
Dr. George B Filosa, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Palm Ave Ste 500, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-7433 | |
Dr. Michael Anthony Edwards, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 215-707-3133 Fax: 215-707-3945 | |
Erin M Moore, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 Phone: 904-398-3888 Fax: 904-400-6675 | |
Dr. Andrew James Kerwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Ufjp Trauma Surgery, Jacksonville, FL 32209 Phone: 904-244-6631 Fax: 904-244-4687 | |
Dr. Marc George Mesleh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |