Moore, Ronald Jason

Moore, Ronald Jason is an individual health care provider with primary practice located at 3310 Waterman Way , Tavares FL 32778-5250. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Moore, Ronald Jason can be contacted via phone (352) 343-1216.

Contact Information

Primary practice address
3310 Waterman Way Tavares FL 32778-5250
Phone: (352) 343-1216
Fax: (352) 343-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102945 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102945 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102945 Florida

Profile Details

NPI number 1316902679
LBN Legal business name Moore, Ronald Jason
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 3rd, 2020 - about 4 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 1316902679 NPPES
Florida Other P00414081 RR MEDICARE
Florida Other Y04L4 RR MEDICARE
Florida MEDICAID 292533800 RR MEDICARE
Florida Other U4075 RR MEDICARE
Florida Other P00702090 RR MEDICARE

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