BENJAMIN E MOORE MD PA


Address: 2 Shircliff Way Ste 925, Jacksonville, FL 32204-4711
Phone: 9043876116

BENJAMIN E MOORE MD PA (NPI# 1235416322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235416322
Entity Type Organization
Organization Name BENJAMIN E MOORE MD PA
Practice Address 2 Shircliff Way Ste 925
Jacksonville
FL 32204-4711
Mailing Address Po Box 17809
Jacksonville
FL 32245-7809
Practice Telephone 9043876116
Practice Fax Number 9043876118
Mailing Telephone 9047235665
Mailing Fax Number 9043380951
Enumeration Date 2011-11-03
Last Update Date 2012-01-09
Authorized Official Name BENJAMIN E MOORE (OWNER)
Authorized Official Telephone 9043876116
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME39355 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2 SHIRCLIFF WAY STE 925
City JACKSONVILLE
State FL
Zip Code 32204-4711

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1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285138495 Yulia Salamatova Psychiatry & Neurology 580 W 8th St # T17, Jacksonville, FL 32209-6533 2018-03-21
1619471018 William Joseph Scharpf Psychiatry & Neurology 653-1 West 8th Street, L18, 4th Floor, Lrc, Jacksonville, FL 32209 2018-03-20
1184155616 Kyle Wuthrich Psychiatry & Neurology 580 W 8th St Fl 9, Jacksonville, FL 32209-6533 2017-03-26
1932511235 Shannon Laboy Psychiatry & Neurology 580 W 8th St # T1-9t17, Jacksonville, FL 32209-6533 2014-05-21
1174933147 Caitlin E D'souza Psychiatry & Neurology 14540 Old Saint Augustine Rd Ste 216, Jacksonville, FL 32258-7418 2014-04-30
1598995599 Baptist Neurology Inc Psychiatry & Neurology 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 2009-07-24
1316104722 Candice Waked Riggeal Psychiatry & Neurology 841 Prudential Dr 10th Floor, Jacksonville, FL 32207-8329 2008-05-22
1508089194 James Gordon Creveling Jr Psychiatry & Neurology 7842 Monterey Bay Dr, Jacksonville, FL 32256-2936 2007-04-11
1053471987 Mark K Emas Psychiatry & Neurology 4085 University Blvd South, # 3, Jacksonville, FL 32216 2006-12-11
1972610012 Arora Psychiatric Consultation Services Pa Psychiatry & Neurology 8130 Baymeadows Circle W, Ste #109, Jacksonville, FL 32256-1837 2006-08-24
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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