Wistar Moore in Jacksonville - Thoracic Surgery (cardiothoracic Vascular Surgery)
Wistar Moore - NPI 1326076274
Wistar Moore is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Jacksonville, Florida. Wistar Moore practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Wistar Moore is 1326076274. The last update date is 2022-03-01.
Wistar Moore's current location address is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. You can contact this provider via phone number 9044506063 and fax number 9045394091. The mailing address for Wistar Moore is 4205 Belfort Rd Ste 4015, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wistar Moore |
|---|---|
| Address | 4205 Belfort Rd Ste 4015, Jacksonville, Florida |
| Phone Number | 9044506063 |
| Fax Number | 9045394091 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1326076274 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2022-03-01 |
Provider Mailing Address Detail
| Address | 4205 Belfort Rd Ste 4015 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322163623 |
| Phone Number | 9044506063 |
| Fax Number | 9045394091 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | ME64685 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 375218600 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wistar Moore by the Centers for Medicare & Medicaid Services?
The Wistar Moore has been assigned the NPI (National Provider Identifier) 1326076274. 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 Wistar Moore is physically located?
The Wistar Moore is situated at the following address: 4205 Belfort Rd Ste 4015, Jacksonville, FL 322163623.
What is the area of specialization for Wistar Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wistar Moore is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of expertise is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326076274 to Wistar Moore?
The Centers for Medicare & Medicaid Services assigned the 1326076274 to Wistar Moore on 2006-06-29.
As of what date were the details pertaining to Wistar Moore last refreshed?
The information related to the Wistar Moore, including its address, specialty, and other relevant details, was last updated on 2022-03-01.