Christopher D Moore (NPI# 1669552030, PAC ID# 6305929860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1669552030 |
PAC ID by PECOS | 6305929860 |
Professional Enrollment ID | I20080207000361 |
Full Name | Christopher D Moore |
Organization Legal Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
Address |
1715 Village Way Orange Park FL 32073-5263 |
Phone Number | 9042648418 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 2002 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 4486806213 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
100226 | ORANGE PARK MEDICAL CENTER |
100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
100134 | ED FRASER MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1715 Village Way, Orange Park, FL 32073-5263 | 9042648418 | FLORIDA PHYSICIAN SPECIALISTS LLC |
Organization Legal Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alberto J Duboy | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
David Scott Bargnesi | Urology | Florida Physician Specialists LLC | 1715 Village Way, Orange Park, FL 32073-5263 |
Charles G Cobb | Urology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
Douglas A Swartz | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
Julia Han | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
Richard H Lewis | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
John C Williams | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
Charles M Homra | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
Ali Kasraeian | Urology | Florida Physician Specialists LLC | 710 Lomax St, Jacksonville, FL 32204-4004 |
Mitchell D Terk | Radiation Oncology | Florida Physician Specialists LLC | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 |
Street Address |
1715 VILLAGE WAY |
City | ORANGE PARK |
State | FL |
Zip | 32073-5263 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Scott Bargnesi | Urology | Florida Physician Specialists LLC | 1715 Village Way, Orange Park, FL 32073-5263 |
Marc H Blasser | Urology | Florida Physician Specialists LLC | 1715 Village Way, Orange Park, FL 32073-5263 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rahman Karimi | Internal Medicine | Mcci Group Holdings LLC | 8 Blanding Blvd, Suite 20, Orange Park, FL 32073-2202 |
Carlos R Villa | Optometry | Myeyedr Optometry of Florida, LLC | 28 Blanding Blvd, Orange Park, FL 32073-2202 |
Robert Morris | Chiropractic | 1871 Wells Rd, Orange Park, FL 32073-2351 | |
Ali Tabatabai | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
Darren R Blom | Optometry | Family First Vision Care Pllc | 1911 Wells Rd, Suite 6, Orange Park, FL 32073-2372 |
Shaila N Williston | Family Practice | 1700 Wells Rd, Suite 27, Orange Park, FL 32073-2374 | |
Joseph N Salameh | Chiropractic | Jns Physicians Group LLC | 1700 Wells Rd, Orange Park, FL 32073-2374 |
Marcus Decarvalho | Psychiatry | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
Blake Bazel | Psychologist, Clinical | 1677 Wells Rd, Suite A, Orange Park, FL 32073-2383 | |
Hewell B Eaves | Optometry | Mack Eye Care Pa | 88 Blanding Blvd, Orange Park, FL 32073-2601 |
Find all physicians in zip 32073 |
City | ORANGE PARK |
Zip Code | 32073 |
Specialty | UROLOGY |
City + Specialty | ORANGE PARK + UROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.