Moore, Jon M
Moore, Jon M is an individual health care provider with primary practice located at 2130 E Johnson Ave Ste 130 , Pensacola FL 32514-6065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Jon M can be contacted via phone (850) 494-3749.Contact Information
Primary practice address
2130 E Johnson Ave Ste 130
Pensacola FL 32514-6065
Phone: (850) 494-3749
Fax: (850) 494-3974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME108460 | Florida |
Profile Details
| NPI number | 1568429462 |
|---|---|
| LBN Legal business name | Moore, Jon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 3rd, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568429462 | NPPES |
| Florida | MEDICAID | 003228100 |
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