Erin M Moore
Vascular Surgeon
836 Prudential Dr Ste 1804
Jacksonville
, Florida 32207
Erin M Moore
Vascular Surgeon
836 Prudential Dr Ste 1804
Jacksonville
, Florida 32207
(904) 400-6671
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Erin M Moore
- 1824 King St Ste 200
- Jacksonville, FL
- Zip : 32204-4735
- Fax : (904) 400-6671
- Phone : (904) 384-3343
Second Address
- Erin M Moore
- 836 Prudential Dr Ste 1804
- Jacksonville, FL
- Zip : 32207
- Fax : (904) 400-6675
- Phone : (904) 398-3888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | ME101863 | FL |
National Provider Identifier
| NPI | 1033119037 |
|---|---|
| Provider Name | Erin M Moore |
| First Address | Jacksonville, FL 32204-4735 |
| Second Address | Jacksonville, FL 32207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2005 |
| Last Update Date | 10/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000999700 | (05) | FL |
| 167164085A | (05) | GA |
| H82726 | (02) | FL |
| P00718847 | MEDICARE RAILROAD (01) |
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.