Dr. Jason Alan Moore
Trauma Surgeon Surgical Critical Care
2402 Frist Blvd Ste. 204
Fort Pierce
, Florida 34950-4838
Dr. Jason Alan Moore
Trauma Surgeon Surgical Critical Care
2402 Frist Blvd Ste. 204
Fort Pierce
, Florida 34950-4838
(772) 462-3939
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About
Features
Specialties
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason Alan Moore
- 2402 Frist Blvd Ste 204
- Fort Pierce, FL
- Zip : 34950-4838
- Phone : (772) 462-3939
Second Address
- Dr. Jason Alan Moore
- 2402 Frist Blvd Ste. 204
- Fort Pierce, FL
- Zip : 34950-4838
- Phone : (772) 462-3939
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | ME113898 | FL |
| N | 2086S0127X | Trauma Surgeon | ME113898 | FL |
National Provider Identifier
| NPI | 1134367386 |
|---|---|
| Provider Name | Dr. Jason Alan Moore |
| First Address | Fort Pierce, FL 34950-4838 |
| Second Address | Fort Pierce, FL 34950-4838 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2009 |
| Last Update Date | 28/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.