Individual
DR. ALISON O. MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 3RD ST S, SUITE 200, JACKSONVILLE BEACH, FL 32250-6056
(904) 249-6110
(904) 249-6119
Mailing address
3200 3RD ST S, SUITE 200, JACKSONVILLE BEACH, FL 32250-6056
(904) 249-6110
(904) 249-6119
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME81110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME81110
MEDICAL LICENSE
FL
01
—
P00057651
RAILROAD MEDICARE
FL
Enumeration date
12/06/2006
Last updated
07/08/2007
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