Richard James Moore, DO | |
1570 Island Ln, Fleming Island, FL 32003-7453 | |
(904) 264-1204 | |
(904) 264-1227 |
Full Name | Richard James Moore |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 1570 Island Ln, Fleming Island, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902167232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | UO 3229 (Florida) | Secondary |
207Q00000X | Family Medicine | OS 12696 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Florida First Care Inc | Orange park, FL | Home health agency |
Ascension St Vincent's Clay County | Middleburg, FL | Hospital |
Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Richard James Moore, DO 1570 Island Ln, Fleming Island, FL 32003-7453 Ph: (904) 264-1204 | Richard James Moore, DO 1570 Island Ln, Fleming Island, FL 32003-7453 Ph: (904) 264-1204 |
Harold Dale Boyd, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1747 Baptist Clay Rd Ste 340, Credentialing Department, Fleming Island, FL 32003 Phone: 904-264-4405 Fax: 904-391-5380 | |
Dr. Ali Reza Afshar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Dr. Michael Wayne Schriver Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 Village Square Pkwy Ste 200, Fleming Island, FL 32003 Phone: 904-264-6404 Fax: 904-264-6884 | |
Charles R Warren, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4565 Us Highway 17 Ste 106, Fleming Island, FL 32003 Phone: 904-269-4559 Fax: 904-269-4597 | |
Amy Christine Powell, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1689 Eagle Harbor Pkwy, Fleming Island, FL 32003 Phone: 904-269-1366 | |
Dr. Tara Lee Larkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1570 Island Ln, Fleming Island, FL 32003 Phone: 904-303-1404 | |
Joe P Bhagratie, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1747 Baptist Clay Dr Ste 200, Fleming Island, FL 32003 Phone: 904-516-1950 Fax: 904-376-3062 |