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Individual

DR. ROBERT M MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14540 OLD SAINT AUGUSTINE RD STE 2571, JACKSONVILLE, FL 32258-7420
(904) 886-2251
(904) 886-7151
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
91477
SC
208600000X
Surgery Physician
DR.0060237
CO
208600000X
Surgery Physician
Primary
ME166267
FL

Other

Enumeration date
06/13/2011
Last updated
06/19/2024
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