Jamie P Moore (NPI# 1851695464, PAC ID# 6507043213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1851695464 |
| PAC ID by PECOS | 6507043213 |
| Professional Enrollment ID | I20110607000205 |
| Full Name | Jamie P Moore |
| Organization Legal Name | LAKE WALES CLINIC CORP |
| Address |
410 S 11th St Lake Wales FL 33853-4203 |
| Phone Number | 8632327343 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 1153304639 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 410 S 11th St, Lake Wales, FL 33853-4203 | 8632327343 | LAKE WALES CLINIC CORP |
| Organization Legal Name | LAKE WALES CLINIC CORP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary E Powell | Nurse Practitioner | Lake Wales Clinic Corp | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Shena R Ranon | Nurse Practitioner | Lake Wales Clinic Corp | 1255 State Rd 60, Lake Wales, FL 33853-4342 |
| Street Address |
410 S 11TH ST |
| City | LAKE WALES |
| State | FL |
| Zip | 33853-4203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael F Cunningham | Emergency Medicine | Lake Wales Emergency Physicians, LLC | 410 S 11th St, Lake Wales, FL 33853-4209 |
| Wenjun W Scott | Anesthesiology Assistant | North Tampa Anesthesia Consultants | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Nageswararao V Kanumuri | Anesthesiology | North Tampa Anesthesia Consultants | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Panchami Thomas | Nurse Practitioner | Florida Hospital Medical Group Inc | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Ravi Bakhsh Masih | Emergency Medicine | Lake Wales Emergency Physicians, LLC | 410 S 11th St, Lake Wales, FL 33853-4209 |
| Prabin C Thakuri | Anesthesiology Assistant | North Tampa Anesthesia Consultants | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Tolulope Mathias Olasunkanmi | Hospitalist | Lake Wales Physician Services, LLC | 410 S 11th St, Lake Wales, FL 33853-4203 |
| Arturo R Hernandez Pena | Psychiatry | Florida Hospital Medical Group Inc | 410 S 11th St, Lake Wales, FL 33853-4203 |
| David L Holmes | Family Medicine | 410 S 11th St, Lake Wales, FL 33853-4203 | |
| Ramon Echague Colman | Pulmonary Disease | Lake Wales Emergency Physicians, LLC | 410 S 11th St, Lake Wales, FL 33853-4209 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgianna W Sorensen | Nurse Practitioner | 237 E Park Ave, Lake Wales, FL 33853-3705 | |
| Boris D Nunez | Cardiovascular Disease (cardiology) | 320 Sr 60, Lake Wales, FL 33853-3750 | |
| Gilberto A Lozano | Internal Medicine | 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750 | |
| Dominiqua Lint | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Beatrice Aime Celian | General Practice | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Tiffany L Garner | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Robert D Bazley | Obstetrics/gynecology | Florida Department of Health | 835 W Central Ave, Lake Wales, FL 33853-4024 |
| Leonilo V Trono | Physical Therapy | Core Rehabilitation Inc | 61 W Central Ave, Lake Wales, FL 33853-4113 |
| Kenneth Neigut | Diagnostic Radiology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Bade Akintan | Urology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Find all physicians in zip 33853 | |||
| City | LAKE WALES |
| Zip Code | 33853 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | LAKE WALES + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Jamie P Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.