Eric Javares Moody

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

M300210893210 Issued in FL

Practice address

734 Tropical Way
Lakeland, FL 33805-4541

Phone

(813) 410-7861

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1144954256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 TROPICAL WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054541",
            "telephone_number": "813-410-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 TROPICAL WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054541",
            "telephone_number": "813-410-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ERIC",
        "middle_name": "JAVARES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "M300210893210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalis Montero
• Jennifer Montero
• Bridgette Fonda Montford
• Elizabeth Rene' Montgomery, CRPS-A
• Shacoya Montgomery
• Nancy Moody, PA
• Patricia N Moody, M.D.
• Cory Adam Moogerfeld, PA-C
• Cathy E Mook, MT
• Anthony Moon, MD

• Non-emergency Medical Transport (VAN) in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.