DR. DARALL J MOORE (NPI# 1891806667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891806667 |
| Entity Type | Individual |
| Full Name | DR. DARALL J MOORE |
| Credential | DPM |
| Practice Address |
4200 Central Ave St Petersburg FL 33711-1140 |
| Practice Telephone | 7273218806 |
| Practice Fax Number | 7273216838 |
| Mailing Telephone | 7273218806 |
| Mailing Fax Number | 7273216838 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1999 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 041420400 | 05 |
| Street Address |
4200 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356625297 | St Petersburg Diabetic & Arthritic Foot Center Pa | Clinic/Center | 4200 Central Ave, St Petersburg, FL 33711-1140 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969998 | Eric J Roberts Md | Podiatrist | 2191 9th Ave N # 150, St Petersburg, FL 33713-7146 | 2019-02-26 |
| 1962630004 | Eric Justin Roberts | Podiatrist | 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 | 2009-06-28 |
| 1184757635 | Florida Coast Foot & Ankle Pa | Podiatrist | 1001 37th Street North, Suite F, St Petersburg, FL 33713-6010 | 2007-03-13 |
| 1669483517 | Julian Robert Menendez | Podiatrist | 5415 Park St N, Suite C, St Petersburg, FL 33709-1087 | 2006-08-10 |
| 1609801687 | Douglas Brian Moss | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2006-07-11 |
| 1013966753 | Chris M Powell | Podiatrist | 5027 Central Ave, St Petersburg, FL 33710-8240 | 2006-05-09 |
| 1053373241 | Robin M Katz | Podiatrist | 6600 34th Ave N, St Petersburg, FL 33710-1515 | 2006-04-04 |
| 1114584125 | Moss Restorative Foot & Ankle Center, Pllc | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2019-05-24 |
| 1184076069 | Derek Alan Pawich | Podiatrist | 1401 16th St N, St Petersburg, FL 33704-4123 | 2016-07-05 |
| 1932399458 | Katz Medical Associates P A | Podiatrist | 6600 34th Ave N, St Petersburg, FL 33710-1515 | 2007-07-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on DR. DARALL J MOORE.
| 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.