Moran, Michaela
Moran, Michaela is an individual health care provider with primary practice located at 2750 John Prom Blvd , Jacksonville FL 32246-3921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Moran, Michaela can be contacted via phone (774) 392-5429.Contact Information
Primary practice address
2750 John Prom Blvd
Jacksonville FL 32246-3921
Phone: (774) 392-5429
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | AL5424 | Florida |
Profile Details
| NPI number | 1871059196 |
|---|---|
| LBN Legal business name | Moran, Michaela |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2019 |
| Last updated | Feb 11th, 2019 - about 6 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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