Individual
AUSTIN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4348 SOUTHPOINT BLVD STE 100, JACKSONVILLE, FL 32216-0903
(904) 281-1915
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TRN# 19692
FL
Other
Enumeration date
05/07/2014
Last updated
10/29/2019
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