Individual
JI-SUK MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6516
(352) 351-7200
Mailing address
900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714-1502
(407) 357-1892
(407) 357-1679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205805
VA
207R00000X
Internal Medicine Physician
0116030466
VA
207R00000X
Internal Medicine Physician
Primary
OS19714
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS19714
FL
Other
Enumeration date
06/19/2017
Last updated
01/19/2026
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