Individual provider Active NPI

Daryl Joseph Moore, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1699739813
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103678 Issued in FL
Practice address
3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Phone
(727) 784-8600
Fax
(727) 785-5753
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103678 FL Primary

Addresses

Primary practice location

3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906

Mailing address

3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Phone (727) 784-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000121 FL Practitioner - Physician Assistant 3577573104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Surgery Consultants, LLC PastSince Jun 1, 2017 Accepting new patients
V.P. Nagarajan, M.D. Past Accepting new patients
Florida Musculoskeletal Surgical Group LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1699739813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W STE 665",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "727-784-8600",
            "fax_number": "727-785-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N ROCKY POINT DR W STE 665",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "telephone_number": "727-784-8600",
            "fax_number": "727-785-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DARYL",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.