| Benjamin E Moore Md Pa | |
|
2 Shircliff Way Ste 925 Jacksonville FL 32204-4711 | |
| (904) 387-6116 | |
| (904) 387-6118 |
| Full Name | Benjamin E Moore Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2 Shircliff Way Ste 925, Jacksonville, Florida |
| Authorized Official Name and Position | Benjamin E Moore (OWNER) |
| Authorized Official Contact | 9043876116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin E Moore Md Pa Po Box 17809 Jacksonville FL 32245-7809 Ph: (904) 723-5665 | Benjamin E Moore Md Pa 2 Shircliff Way Ste 925 Jacksonville FL 32204-4711 Ph: (904) 387-6116 |
| NPI Number | 1235416322 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235416322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME39355 (Florida) | Primary |
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