Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME112086 | FL |
N | 207PE0004X | Emergency Medical Services | TRN13705 | FL |
NPI | 1043445133 |
---|---|
Provider Name | Dr. Melissa Kay Moore Hill |
First Address | Jacksonville, FL 32207 |
Second Address | Jacksonville, FL 32207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 28/08/2012 |