Organization Active NPI

Moore and Healey, PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1669667390
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0027744 Issued in FL
Legal business name
MOORE AND HEALEY, PA
Practice address
4910 Beach Blvd
Jacksonville, FL 32207-4817
Phone
(904) 399-0667
Fax
(904) 399-3330
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Ms. Carol R Black
Title
Office Manager
Phone
(904) 399-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME0027744 FL Primary

Addresses

Primary practice location

4910 Beach Blvd
Jacksonville, FL 32207-4817

Mailing address

4910 Beach Blvd
Jacksonville, FL 32207-4817
Phone (904) 399-0667

Other names 1

  • MOORE AND HEALEY, PA Other name

National Provider Directory

National Provider Directory

Locations

4910 Beach Blvd
Jacksonville, FL 32207
Phone (904) 364-1348

2 Shircliff Way
Ste 905
Jacksonville, FL 32204
Phone (904) 384-1348

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1669667390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074817",
            "telephone_number": "904-399-0667",
            "fax_number": "904-399-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074817",
            "telephone_number": "904-399-0667",
            "fax_number": "904-399-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE AND HEALEY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-399-0667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORE AND HEALEY, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 16, 2010; 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.