HARRY K. MOON M.D.
NPI 1114088507
Specialist in Ft Lauderdale, FL

Active since December 12, 2006
717 SE 2ND ST, FT LAUDERDALE, FL 33301(954) 493-5005(954) 337-3309 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harry K. Moon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRY K. MOON M.D. (NPI 1114088507) is an individual specialist in Ft Lauderdale, Florida, licensed in Florida (ME51849) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114088507
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameHARRY K. MOONCredential: M.D.
Location Address717 SE 2ND STFt Lauderdale, FL 33301-3605
Mailing Address717 Se 2nd StFt Lauderdale, FL 33301-3605 · (954) 357-1172 · Fax (954) 337-3309
Fax(954) 337-3309
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJanuary 22, 2014
NPI 1114088507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME51849
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
717 SE 2ND ST, Ft Lauderdale, FL 33301

Other Identifiers 3

Medicare ID-Type Unspecified04903XFL
Other04903FL · Bluecrossblueshield Of Fl
Medicare UPIND51132FL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
717 SE 2ND ST
FORT LAUDERDALE, FL 33301
Plastic Surgery
717 SE 2ND ST
FORT LAUDERDALE, FL 33301
Acupuncturist
717 SE 2ND ST, SUITE 203
FORT LAUDERDALE, FL 33301
Clinic/Center (Ambulatory Surgical)
717 SE 2ND ST
FORT LAUDERDALE, FL 33301
Acupuncturist
717 SE 2ND ST, SUITE 203
FORT LAUDERDALE, FL 33301
Specialist
717 SE 2ND ST
FT LAUDERDALE, FL 33301

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 Harry Moon's NPI number?

The NPI number for Harry Moon is 1114088507. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Harry Moon located?

Harry Moon practices at 717 SE 2nd St, Ft Lauderdale, FL 33301. The listed phone number is (954) 493-5005.

What is Harry Moon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Harry Moon was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.