- Practice location
- 4215 Edgewater Dr, Orlando, FL 32804-2206
- Phone
- 855-582-7747
- Fax
- 888-972-4761
- Last updated
- July 23, 2026
Anthony Allen Moore is a Physician Assistant, Surgical based in Orlando, FL. Anthony Allen Moore practices in Orlando, FL and has the professional credentials of PA. The NPI Number for Anthony Allen Moore is 1497901029 and holds a License No. PAT9104697 (FL). The current practice location address for Anthony Allen Moore is 4215 Edgewater Dr, Orlando, FL 32804-2206 and can be reached out via phone at 855-582-7747 and via fax at 888-972-4761.
Provider Profile Details
- NPI Number
- 1497901029
- Provider Name
- Anthony Allen Moore
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4215 Edgewater Dr, Orlando, FL 32804-2206
- Phone Number
- 855-582-7747
- Fax Number
- 888-972-4761
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 14, 2008
- Last Update Date
- July 23, 2026
- Certification Date
- July 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4215 Edgewater Dr
Orlando, FL 32804-2206 - City
- Orlando
- State
- Florida
- Zip
- 32804-2206
- Phone Number
- 855-582-7747
- Fax Number
- 888-972-4761
Provider Business Mailing Address Details
- Address
- 695 US Highway 46 Ste 400A
Fairfield, NJ 07004-1568 - City
- Fairfield
- State
- NJ
- Zip
- 07004-1568
- Phone Number
- 973-894-1265
- Fax Number
- 888-972-6480
License Information
- License Number (1)
- PAT9104697
- License State (1)
- FL
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA9104697
- License State (2)
- FL
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Anthony A Moore, PA?
The NPI number of Anthony A Moore, PA is 1497901029. It was assigned on August 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Anthony A Moore, PA?
Anthony A Moore, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in FL under license number PAT9104697.
Where does Anthony A Moore, PA practice?
The practice location is 4215 Edgewater Dr, Orlando, FL 32804-2206. The office can be reached at 855-582-7747 (phone) or 888-972-4761 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497901029 directly on the NPPES registry website.