MEREDITH GROGAN MOORE MD
NPI 1053991513
Student in an Organized Health Care Education/Training Program in Tampa, FL
About Meredith Grogan Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEREDITH GROGAN MOORE MD (NPI 1053991513) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Meredith Moore's NPI number?
The NPI number for Meredith Moore is 1053991513. It was assigned to this individual provider in the NPPES registry on April 9, 2021. The provider is also known as Meredith Licata Grogan.
Where is Meredith Moore located?
Meredith Moore practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (813) 974-2202.
What is Meredith Moore's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Meredith Moore was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Meredith Grogan Moore, MD · NPI 1053991513
Student in an Organized Health Care Education/Training Program provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since April 9, 2021.
## Identity
- **NPI:** 1053991513 (Entity type: Individual)
- **Enumerated:** April 9, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17 DAVIS BLVD STE 308, Tampa, FL 33606-3438
- **Phone:** (813) 974-2202
## Record status
- **NPPES last updated:** April 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053991513) · Data from the CMS NPPES public registry.