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Individual

DR. JUSTIN RANDOLPH MOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(904) 202-6410
(904) 390-7382
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
13287
ND
207Y00000X
Otolaryngology Physician
Primary
ME128553
FL
208D00000X
General Practice Physician
01061468A
IN

Other

Enumeration date
11/21/2006
Last updated
10/13/2017
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