JOHN CLIFTON MOORE III MD
NPI 1659344968
Pediatrics in Lakeland, FL

Q: What is John Moore's NPI number?

The NPI number for John Moore is 1659344968. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Q: What is John Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Moore was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 08, 2006

1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803(863) 647-8011(863) 647-8029 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Clifton Moore Iii Md NPPES

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

JOHN CLIFTON MOORE III MD (NPI 1659344968) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (ME27037) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1659344968

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJOHN CLIFTON MOORE IIICredential: MD

Location Address1033 N PARKWAY FRONTAGE RDLakeland, FL 33803

Mailing AddressPo Box 95004Lakeland, FL 33804 · (863) 680-7206 · Fax (863) 680-7420

Phone(863) 647-8011

Fax(863) 647-8029

Sole ProprietorNo

Enumeration DateFebruary 8, 2006

Last NPPES UpdateFebruary 16, 2010

✔ NPI 1659344968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME27037

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1033 N PARKWAY FRONTAGE RD, Lakeland, FL 33803

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Other Identifiers 4

Medicare PIN51133XFL

Medicare UPIND64320

Medicare NSC0471260003FL

Medicaid066805200FL

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.

JUSTINE DAWN JONES CST

Specialist/Technologist, Other (Surgical Technologist)