Ronald Jason Moore in Tavares - Physician Assistant
Ronald Jason Moore - NPI 1316902679
Ronald Jason Moore is a Physician Assistant in Tavares, Florida. Ronald Jason Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ronald Jason Moore is 1316902679. The last update date is 2020-02-03.
Ronald Jason Moore's current location address is 3310 Waterman Way, Tavares, Florida. You can contact this provider via phone number 3523431216 and fax number 3523431582. The mailing address for Ronald Jason Moore is 3310 Waterman Way, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Jason Moore |
|---|---|
| Address | 3310 Waterman Way, Tavares, Florida |
| Phone Number | 3523431216 |
| Fax Number | 3523431582 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316902679 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2020-02-03 |
Provider Mailing Address Detail
| Address | 3310 Waterman Way |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327785250 |
| Phone Number | 3523431216 |
| Fax Number | 3523431582 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9102945 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00414081 | FL | RR MEDICARE | |
| Y04L4 | FL | BCBS OF FL | |
| 292533800 | FL | -- | |
| U4075 | FL | BCBS | |
| P00702090 | FL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Ronald Jason Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Ronald Jason Moore has been assigned the NPI (National Provider Identifier) 1316902679. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Ronald Jason Moore is geographically located?
The Ronald Jason Moore is physically situated at the following location: 3310 Waterman Way, Tavares, FL, 327785250.
What is Ronald Jason Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronald Jason Moore is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did the Ronald Jason Moore receive its 1316902679?
The Ronald Jason Moore was issued its 1316902679 on 2006-04-19, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Ronald Jason Moore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Jason Moore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-03.