Active NPI
Alleo Health of Florida, LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- ALLEO HEALTH OF FLORIDA, LLC
- Practice address
- 501 Riverside Ave Ste 904
Jacksonville, FL 32202-4940 - Phone
- (434) 977-9711
- Fax
- (434) 235-4142
- NPI assigned
- Apr 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Internal Medicine Physician | 207R00000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
501 Riverside Ave Ste 904
Jacksonville, FL 32202-4940
Mailing address
500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711
Other names 1
- Palliative Care Services of Florida
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250723004775 | FL | Part B Supplier - Clinic/Group Practice | 0143672725 |
Receives reassigned benefits from 3 practitioners Practice locations: Jacksonville, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
0143672725
National Provider Directory
National Provider Directory- Tax ID family
- Alleo Health of Florida LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
Locations
831 N Palmetto Ave
Green Cove Springs, FL 32043
Phone (904) 593-8527
501 Riverside Ave
Ste 904
Jacksonville, FL 32202
Phone (434) 977-9711
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1194353037
FL, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1508669607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAULCONER DR STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035089",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 RIVERSIDE AVE STE 904",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024940",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEO HEALTH OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-22",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palliative Care Services of Florida",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Palliative Care Services of Florida",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.