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Mr. James Moore, PA
Surgical Physician Assistant in Melbourne Beach, Florida
NPI 1053302059

James Moore is a Surgical Physician Assistant based in Melbourne Beach, FL and is specialized in Surgical. James Moore practices in Melbourne Beach, FL and has the professional credentials of PA. The NPI Number for James Moore is 1053302059 and holds a License No. (Florida).

The current practice location address for James Moore is 310 Amberjack Pl, Melbourne Beach, FL and can be reached out via phone at 321-684-1193.

Location: 310 Amberjack Pl, Melbourne Beach, FL, 32951-0764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053302059
Provider Name
James Moore
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
310 Amberjack Pl, Melbourne Beach, FL, 32951-0764
Phone Number
321-684-1193
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003500000 05 FL
institution
Provider Business Practice Location Address Details
Address
310 Amberjack Pl
City
Melbourne Beach
State
Florida
Zip
32951-2906
Phone Number
321-684-1193
Fax Number
person
Provider Business Mailing Address Details
Address
310 Amberjack Pl
City
Melbourne Beach
State
Florida
Zip
32951-2906
Phone Number
321-684-1193
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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