OMAR JISHI MOORE


Address: 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329
Phone: 9043985404

OMAR JISHI MOORE (NPI# 1487072245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487072245
Entity Type Individual
Full Name OMAR JISHI MOORE
Credential M.D.
Practice Address 841 Prudential Dr Fl 10
Jacksonville
FL 32207-8329
Mailing Address Po Box 41113
Jacksonville
FL 32203-1113
Practice Telephone 9043985404
Practice Fax Number 9043915545
Mailing Telephone 9043764400
Mailing Fax Number 9043915595
Enumeration Date 2014-03-30
Last Update Date 2019-09-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME134726 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 841 PRUDENTIAL DR FL 10
City JACKSONVILLE
State FL
Zip Code 32207-8329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215906649 Baptist Behavioral Health, LLC Counselor 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2006-03-17
1669015111 Miguel A Franco Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2019-10-28
1477103539 Adeline Leon Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2019-09-19
1023537602 Janette Thames Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2017-09-14
1275931339 Henry Benson Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2014-12-05
1780008425 Daniel Howard Olsen Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2014-02-18
1255694667 Scott M Dellorso Psychiatry & Neurology 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2012-06-20
1083846414 Karen Cooper Sandbach Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2009-08-18
1427205038 Jason Shaun Day Psychiatry & Neurology 841 Prudential Dr Fl 10, Credentialing Department, Jacksonville, FL 32207-8329 2008-08-26
1528229184 Georgia Gianakakos Psychiatry & Neurology 841 Prudential Dr Fl 10, Credentialing Department, Jacksonville, FL 32207-8329 2008-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285138495 Yulia Salamatova Psychiatry & Neurology 580 W 8th St # T17, Jacksonville, FL 32209-6533 2018-03-21
1619471018 William Joseph Scharpf Psychiatry & Neurology 653-1 West 8th Street, L18, 4th Floor, Lrc, Jacksonville, FL 32209 2018-03-20
1184155616 Kyle Wuthrich Psychiatry & Neurology 580 W 8th St Fl 9, Jacksonville, FL 32209-6533 2017-03-26
1932511235 Shannon Laboy Psychiatry & Neurology 580 W 8th St # T1-9t17, Jacksonville, FL 32209-6533 2014-05-21
1174933147 Caitlin E D'souza Psychiatry & Neurology 14540 Old Saint Augustine Rd Ste 216, Jacksonville, FL 32258-7418 2014-04-30
1235416322 Benjamin E Moore Md Pa Psychiatry & Neurology 2 Shircliff Way Ste 925, Jacksonville, FL 32204-4711 2011-11-03
1598995599 Baptist Neurology Inc Psychiatry & Neurology 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 2009-07-24
1316104722 Candice Waked Riggeal Psychiatry & Neurology 841 Prudential Dr 10th Floor, Jacksonville, FL 32207-8329 2008-05-22
1508089194 James Gordon Creveling Jr Psychiatry & Neurology 7842 Monterey Bay Dr, Jacksonville, FL 32256-2936 2007-04-11
1053471987 Mark K Emas Psychiatry & Neurology 4085 University Blvd South, # 3, Jacksonville, FL 32216 2006-12-11
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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