Moore, Omar Jishi

Moore, Omar Jishi is an individual health care provider with primary practice located at 841 Prudential Dr Fl 10 , Jacksonville FL 32207-8329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Moore, Omar Jishi can be contacted via phone (904) 398-5404.

Contact Information

Primary practice address
841 Prudential Dr Fl 10 Jacksonville FL 32207-8329
Phone: (904) 398-5404
Fax: (904) 391-5545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X T9017 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 92255 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036146539 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 44297 Alabama
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD-49933 Iowa
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01090166A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-46192 Kansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C0733 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 330900 Louisiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X EMC0001993 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2023017851 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30235 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2021-01752 North Carolina
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X ME13426 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME134726 Florida

Profile Details

NPI number 1487072245
LBN Legal business name Moore, Omar Jishi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2014
Last updated Apr 25th, 2024 - about 7 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.

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