Individual
DR. RONALD E MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2307 W BROWARD BLVD STE 101, FORT LAUDERDALE, FL 33312-1420
(954) 797-4220
(754) 206-3688
Mailing address
PO BOX 11705, FORT LAUDERDALE, FL 33339-1705
(954) 797-4220
(954) 440-0340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME87976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274253500
—
FL
01
—
71634
BCBS
FL
Enumeration date
11/09/2006
Last updated
09/11/2025
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