MOORE MEDICAL GROUP INC (NPI# 1578724183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578724183 |
| Entity Type | Organization |
| Organization Name | MOORE MEDICAL GROUP INC |
| Practice Address |
4300 W Lake Mary Blvd Ste 1010-357 Lake Mary FL 32746-2060 |
| Practice Telephone | 4077327957 |
| Practice Fax Number | 4077327925 |
| Mailing Telephone | 4077327957 |
| Mailing Fax Number | 4077327925 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | ERIC ALAN MOORE (PHYSICIAN) |
| Authorized Official Telephone | 4077327957 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME63176 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006387600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117572 | Moore Medical Group Inc | Counselor | 801 International Pkwy Ste 500, Lake Mary, FL 32746-4763 | 2020-05-29 |
| Street Address |
4300 W LAKE MARY BLVD STE 1010-357 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952724916 | Crystal R Santiago | Nurse Practitioner | 4300 W Lake Mary Blvd, Ste 1010, Lake Mary, FL 32746-2449 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245729862 | Adventist Health System/sunbelt, Inc. | Family Medicine | 2948 West Lake Mary Blvd, Lake Mary, FL 32746 | 2018-05-09 |
| 1245616192 | Central Parc Wellness | Family Medicine | 920 International Pkwy, Suite # 1056, Lake Mary, FL 32746-5219 | 2015-08-03 |
| 1598053654 | Hina Khan Durani | Family Medicine | 4106 W Lake Mary Blvd Ste 4106, Lake Mary, FL 32746-3315 | 2011-07-11 |
| 1437451887 | Lake Mary Medical Center | Family Medicine | 3629 Lake Emma Rd, Lake Mary, FL 32746-6199 | 2010-11-17 |
| 1245530575 | Physicians Home Visits LLC | Family Medicine | 3624 Simonton Pl, Lake Mary, FL 32746-6741 | 2010-11-03 |
| 1477870160 | Roman Medical LLC | Family Medicine | 460 Raccoon St, Lake Mary, FL 32746-3802 | 2010-04-21 |
| 1457504540 | Robert E Sutton | Family Medicine | 1561 Langham Ter, Lake Mary, FL 32746-1970 | 2008-11-03 |
| 1801045760 | Mukti Pillappa | Family Medicine | 707 Platinum Pt, Lake Mary, FL 32746-5702 | 2008-09-16 |
| 1174781710 | Juveria Tawwab | Family Medicine | 2605 W Lake Mary Blvd, #119, Lake Mary, FL 32746-3568 | 2008-05-30 |
| 1366591554 | Ronald Lynch | Family Medicine | 2500 W. Lake Mary Blvd, Suite 109, Lake Mary, FL 32746 | 2007-01-09 |
| Find all providers in LAKE MARY | ||||
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| 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.