JENNIFER MOORE, M.D., PA
NPI 1700062809
Specialist in Sebastian, FL

Active since January 18, 2008
7764 BAY ST STE 10, SEBASTIAN, FL 32958(772) 228-9787(772) 563-0370 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Moore, M.d., Pa NPPES

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

JENNIFER MOORE, M.D., PA (NPI 1700062809) is a healthcare organization registered as a specialist in Sebastian, Florida and active in the NPI registry since January 2008. The organization lists Jennifer Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1700062809
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJENNIFER MOORE, M.D., PA
Location Address7764 BAY ST STE 10Sebastian, FL 32958-3427
Mailing Address7764 Bay St Ste 10Sebastian, FL 32958-3427 · (772) 228-9787 · Fax (772) 563-0370
Fax(772) 563-0370
Organization SubpartNo
Authorized OfficialJennifer MooreOwner · (772) 228-9787
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJanuary 30, 2008
NPI 1700062809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME90718
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.

7764 BAY ST STE 10, Sebastian, FL 32958

Other Identifiers 2

Medicare UPINE94327FL
Medicare PINK6701FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700062809, enumerated as an "organization" on January 18, 2008.

The provider is located at 7764 BAY ST STE 10 SEBASTIAN, FL 32958 and the phone number is (772) 228-9787.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.