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Ronald Jason Moore, PA-C
Physician Assistant in Tavares, Florida
NPI 1316902679

Ronald Jason Moore is a Physician Assistant based in Tavares, FL. Ronald Jason Moore practices in Tavares, FL and has the professional credentials of PA-C. The NPI Number for Ronald Jason Moore is 1316902679 and holds a License No. PA9102945 (Florida).

The current practice location address for Ronald Jason Moore is 3310 Waterman Way, Tavares, FL and can be reached out via phone at 352-343-1216 and via fax at 352-343-1582.

Location: 3310 Waterman Way, Tavares, FL, 32778-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316902679
Provider Name
Ronald Jason Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3310 Waterman Way, Tavares, FL, 32778-5250
Phone Number
352-343-1216
Fax Number
352-343-1582
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00414081 01 FL RR MEDICARE
Y04L4 01 FL BCBS OF FL
292533800 05 FL
U4075 01 FL BCBS
P00702090 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3310 Waterman Way
City
Tavares
State
Florida
Zip
32778-5250
Phone Number
352-343-1216
Fax Number
352-343-1582
person
Provider Business Mailing Address Details
Address
3310 Waterman Way
City
Tavares
State
Florida
Zip
32778-5250
Phone Number
352-343-1216
Fax Number
352-343-1582
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9102945 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9102945 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA9102945 (Florida)
Definition
Definition to come...
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