Benjamin E Moore MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME39355 Issued in FL

Legal business name

BENJAMIN E MOORE MD PA

Practice address

2 Shircliff Way Ste 925
Jacksonville, FL 32204-4711

Phone

(904) 387-6116

Fax

(904) 387-6118

NPI assigned

Nov 3, 2011

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin E Moore, MDNPI 1558342196

Title

Owner

Phone

(904) 387-6116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin E Moore, MD

  • Specialist
  • Jacksonville, FL
  • NPI 1558342196
  Authorized official Same address or phone

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1235416322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-5665",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 925",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044711",
            "telephone_number": "904-387-6116",
            "fax_number": "904-387-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN E MOORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-387-6116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME39355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Alejandro Benitez-Labrada
• Ann Kathryn Benitez, FNP-C
• Clarissa Benitez
• Odalys Benitez
• Priscilla Benjamin Castro, CSFA
• Clare Denise Benjamin, ARNP
• Ebony Lynn Benjamin, LCSW
• Ebony Monique Benjamin, CRNA
• Nicole Alexandra Benjamin
• Shandon Lucianna Benjamin

• Neurology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.