Moreno, Raul J

Moreno, Raul J is an individual health care provider with primary practice located at 2639 Oak St , Jacksonville FL 32204-4505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Moreno, Raul J can be contacted via phone (904) 387-5600.

Contact Information

Primary practice address
2639 Oak St Jacksonville FL 32204-4505
Phone: (904) 387-5600
Fax: (904) 388-0114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34670 Georgia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 34670 Georgia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME59679 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0059679 Florida

Profile Details

NPI number 1932109659
LBN Legal business name Moreno, Raul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 20th, 2023 - about last year

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 1932109659 NPPES
Georgia MEDICAID 000464065A
Georgia MEDICAID 056043000

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