Moon, Alison O.

Moon, Alison O. is an sole proprietor health care provider with primary practice located at 3200 3Rd St S Suite 200, Jacksonville Beach FL 32250-6056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Moon, Alison O. can be contacted via phone (904) 249-6110.

Contact Information

Primary practice address
3200 3Rd St S Suite 200 Jacksonville Beach FL 32250-6056
Phone: (904) 249-6110
Fax: (904) 249-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME81110 Florida

Profile Details

NPI number 1740349950
LBN Legal business name Moon, Alison O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740349950 NPPES
Florida Other P00057651 RAILROAD MEDICARE
Florida Other ME81110 RAILROAD MEDICARE

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