Organization Active NPI

Moriah R. Moffitt, M.D., P.a.

  • Specialist
  • Tampa, FL
National Provider Identifier
1700286564
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME69284 Issued in FL
Legal business name
MORIAH R. MOFFITT, M.D., P.A.
Practice address
603 S Boulevard
Tampa, FL 33606-2629
Phone
(813) 414-0908
Fax
(813) 464-2853
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dr. Moriah R Moffitt, M.D.NPI 1124048830
Title
Business Owner
Phone
(813) 414-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME69284 FL Primary

Addresses

Primary practice location

603 S Boulevard
Tampa, FL 33606-2629

Mailing address

603 S Boulevard
Tampa, FL 33606-2629
Phone (813) 414-0908

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1700286564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062629",
            "telephone_number": "813-414-0908",
            "fax_number": "813-464-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062629",
            "telephone_number": "813-414-0908",
            "fax_number": "813-464-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIAH R. MOFFITT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "813-414-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.