Michaela Moran, ATC
Physical Medicine & Rehabilitation, Sports Medicine in Jacksonville, Florida
1871059196- Practice location
- 2750 John Prom Blvd, Jacksonville, FL 32246-3921
- Phone
- 774-392-5429
- Fax
- —
- Last updated
- February 11, 2019
Michaela Moran is a Physical Medicine & Rehabilitation, Sports Medicine based in Jacksonville, FL. Michaela Moran practices in Jacksonville, FL and has the professional credentials of ATC. The NPI Number for Michaela Moran is 1871059196 and holds a License No. AL5424 (FL). The current practice location address for Michaela Moran is 2750 John Prom Blvd, Jacksonville, FL 32246-3921 and can be reached out via phone at 774-392-5429.
Provider Profile Details
- NPI Number
- 1871059196
- Provider Name
- Michaela Moran
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2750 John Prom Blvd, Jacksonville, FL 32246-3921
- Phone Number
- 774-392-5429
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 11, 2019
- Last Update Date
- February 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2750 John Prom Blvd
Jacksonville, FL 32246-3921 - City
- Jacksonville
- State
- Florida
- Zip
- 32246-3921
- Phone Number
- 774-392-5429
Provider Business Mailing Address Details
- Address
- 14 Fisher RD
East Falmouth, MA 02536-7145 - City
- East Falmouth
- State
- MA
- Zip
- 02536-7145
- Phone Number
- 774-392-5429
License Information
- License Number
- AL5424
- License State
- FL
- Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation, Sports Medicine providers near Jacksonville, FL
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- Adam E Bellfield, PA-C, DPTPhysician Assistant · NPI 1164169165
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Frequently Asked Questions
What is the NPI number of Michaela Moran, ATC?
The NPI number of Michaela Moran, ATC is 1871059196. It was assigned on February 11, 2019 and is currently active in the NPPES registry.
What is the specialty of Michaela Moran, ATC?
Michaela Moran, ATC is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in FL under license number AL5424.
Where does Michaela Moran, ATC practice?
The practice location is 2750 John Prom Blvd, Jacksonville, FL 32246-3921. The office can be reached at 774-392-5429 (phone).
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 1871059196 directly on the NPPES registry website.