# LUANN B MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639139157
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | ME52109 | FL | — |
| 2085N0700X | Neuroradiology Physician | ME52109 | FL | — |
| 2085N0904X | Nuclear Radiology Physician | ME52109 | FL | — |
| 2085P0229X | Pediatric Radiology Physician | ME52109 | FL | — |
| 2085R0202X | Diagnostic Radiology Physician | ME52109 | FL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | ME52109 | FL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | ME52109 | FL | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00371027A | — | GA |
| 01 | — | 05806 | BCBS | FL |
