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BENJAMIN E MOORE MD
NPI 1558342196
Specialist in Jacksonville, FL

Active since November 10, 2005
2 SHIRCLIFF WAY, STE 925, JACKSONVILLE, FL 32204(904) 387-6116(904) 387-6118 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Benjamin E Moore Md NPPES

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

BENJAMIN E MOORE MD (NPI 1558342196) is an individual specialist in Jacksonville, Florida, licensed in Florida (ME39355) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1558342196
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBENJAMIN E MOORECredential: MD
Location Address2 SHIRCLIFF WAY, STE 925Jacksonville, FL 32204-4753
Mailing AddressPo Box 17809Jacksonville, FL 32245-7809 · (904) 387-6116 · Fax (904) 387-6118
Phone(904) 387-6116
Fax(904) 387-6118
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateJanuary 9, 2012
✔ NPI 1558342196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME39355
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.
2 SHIRCLIFF WAY, Jacksonville, FL 32204
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Other Identifiers 5

Other15663FL · Bcbs
Other130000327FL · Railroad Medicare
Medicare PIN15663ZFL
Medicaid273404400FL
Medicare UPIND52689

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.

ID ASSOCIATES OF JACKSONVILLE PA
Internal Medicine (Infectious Disease)
2 SHIRCLIFF WAY, STE 610
JACKSONVILLE, FL 32204
Duval County (904) 387-5027
CONSOLIDATED PHARMACY SERVICES
Durable Medical Equipment & Medical Supplies
2 SHIRCLIFF WAY, SUITE 205
JACKSONVILLE, FL 32204
Duval County (904) 308-7220
SUSAN L CATTO ARNP
Nurse Practitioner (Adult Health)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
BRANDON TRUMBLE AGACNP-BC
Nurse Practitioner (Critical Care Medicine)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MRS. ALLISON WINFREY KOTOWSKI LCSW
Social Worker (Clinical)
2 SHIRCLIFF WAY, STE 800
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
DR. WILLIAM E SUMNER III MD, FACS
Surgery (Surgical Oncology)
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Duval County (904) 389-8871
SAMER SALAMEKH M.D.
Radiology (Radiation Oncology)
2 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 388-2619
MIROSLAV UCHAL MD
Surgery
2 SHIRCLIFF WAY, SUITE 500
JACKSONVILLE, FL 32204
Duval County (904) 389-8861

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 Benjamin Moore's NPI number?

The NPI number for Benjamin Moore is 1558342196. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Benjamin Moore located?

Benjamin Moore practices at 2 Shircliff Way Ste 925, Jacksonville, FL 32204. The listed phone number is (904) 387-6116.

What is Benjamin Moore'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 Benjamin Moore was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.