Moore, Erin M

Moore, Erin M is an individual health care provider with primary practice located at 836 Prudential Dr Ste 1804, Jacksonville FL 32207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moore, Erin M can be contacted via phone (904) 398-3888.

Contact Information

Primary practice address
836 Prudential Dr Ste 1804 Jacksonville FL 32207
Phone: (904) 398-3888
Fax: (904) 400-6675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME101863 Florida

Profile Details

NPI number 1033119037
LBN Legal business name Moore, Erin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Nov 23rd, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033119037 NPPES
Florida MEDICAID 000999700
Florida Other P00718847
Florida MEDICAID 167164085A

Popular Providers