Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
WELL POINT HEALTH
Active
Organization
WELL POINT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN-MARK MILLER MOORE BCBA (PRESIDENT)
(904) 655-9223
Entity
Organization
Contact information
Practice address
3661 HAWKS LANDING CIR, PACE, FL 32571-9654
(904) 655-9223
Mailing address
3661 HAWKS LANDING CIR, PACE, FL 32571-9654
(904) 655-9223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
04/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up