Moreno, Tomas Alejandro

Moreno, Tomas Alejandro is an individual health care provider with primary practice located at 8786 Perimeter Park Blvd , Jacksonville FL 32216-6347. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Moreno, Tomas Alejandro can be contacted via phone (904) 997-9202.

Contact Information

Primary practice address
8786 Perimeter Park Blvd Jacksonville FL 32216-6347
Phone: (904) 997-9202
Fax: (904) 997-9205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME139693 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME139693 Florida

Profile Details

NPI number 1184967341
LBN Legal business name Moreno, Tomas Alejandro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2013
Last updated Apr 19th, 2023 - about 2 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 1184967341 NPPES
Florida MEDICAID 102472300
Florida MEDICAID 003217747A

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