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: August 23, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moore, M.D., PA's NPI number?

The NPI number for Jennifer Moore, M.D., PA is 1700062809. It was assigned to this organization in the NPPES registry on January 18, 2008.

Where is Jennifer Moore, M.D., PA located?

Jennifer Moore, M.D., PA is located at 7764 Bay St Ste 10, Sebastian, FL 32958. The listed phone number is (772) 228-9787.

What is Jennifer Moore, M.D., PA'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 Jennifer Moore, M.D., PA was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.