Individual
OMAR JISHI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7807 BAYMEADOWS RD E STE 303, JACKSONVILLE, FL 32256-9667
(904) 204-6585
(850) 390-7195
Mailing address
7807 BAYMEADOWS RD E STE 303, JACKSONVILLE, FL 32256-9667
(904) 204-6585
(850) 390-7195
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01090166A
IN
2084N0400X
Neurology Physician
036146539
IL
2084N0400X
Neurology Physician
04-46192
KS
2084N0400X
Neurology Physician
2021-01752
NC
2084N0400X
Neurology Physician
2023017851
MO
2084N0400X
Neurology Physician
30235
MS
2084N0400X
Neurology Physician
330900
LA
2084N0400X
Neurology Physician
44297
AL
2084N0400X
Neurology Physician
92255
GA
2084N0400X
Neurology Physician
C0733
KY
2084N0400X
Neurology Physician
EMC0001993
MI
2084N0400X
Neurology Physician
MD-49933
IA
2084N0400X
Neurology Physician
T9017
TX
2084N0600X
Clinical Neurophysiology Physician
Primary
ME13426
FL
Other
Enumeration date
03/30/2014
Last updated
05/07/2026
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