Individual
JACINTO B MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 87055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266592100
—
FL
01
—
29157
BLUE CROSS BLUE SHIELD
FL
01
—
P00661595
RAILROAD MEDICARE ASSOCIATED WITH GROUP CF4811
—
Enumeration date
08/31/2006
Last updated
02/25/2009
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