Individual
ANTHONY ALLEN MOORE
Active
Individual
ANTHONY ALLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAT9104697
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9104697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132026300
—
FL
01
—
BJ031X
QSS SCS PTAN
FL
Enumeration date
08/14/2008
Last updated
07/23/2026
Update your record
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 at https://nppes.cms.hhs.gov.
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