Benjamin E Moore in Jacksonville - Specialist

Benjamin E Moore - NPI 1558342196

Benjamin E Moore is a Specialist in Jacksonville, Florida. Benjamin E Moore practices all healthcare services and medical treatments related to Specialist. The NPI Number for Benjamin E Moore is 1558342196. The last update date is 2012-01-09.

Benjamin E Moore's current location address is Po Box 17809, Jacksonville, Florida. You can contact this provider via phone number 9043876116 and fax number 9043876118. The mailing address for Benjamin E Moore is Po Box 17809, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin E Moore
Address Po Box 17809, Jacksonville, Florida
Phone Number 9043876116
Fax Number 9043876118
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1558342196
Provider Enumeration Date 2005-11-10
Last Updated Date 2012-01-09

Provider Mailing Address Detail

Address Po Box 17809
City Jacksonville
State Florida (FL)
Post Code 322457809
Phone Number 9043876116
Fax Number 9043876118

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME39355
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273404400 FL --
15663 FL BCBS
130000327 FL RAILROAD MEDICARE

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FAQs about Benjamin E Moore

What is the unique identifier code issued to Benjamin E Moore by the Centers for Medicare & Medicaid Services?

The Benjamin E Moore has been assigned the NPI (National Provider Identifier) 1558342196. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Benjamin E Moore is physically located?

The Benjamin E Moore is situated at the following address: Po Box 17809, Jacksonville, FL 322457809.

What is Benjamin E Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Benjamin E Moore is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Benjamin E Moore receive the assignment of its 1558342196 from the Centers for Medicare & Medicaid Services?

The Benjamin E Moore was issued its 1558342196 by the Centers for Medicare & Medicaid Services on 2005-11-10.

When was the information regarding Benjamin E Moore most recently updated?

The details pertaining to the Benjamin E Moore, including its address, specialty, and other relevant information, were last refreshed on 2012-01-09.

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