BRANDY MOORE CSA
NPI 1790378099
Specialist/Technologist, Other - Surgical Assistant in Jacksonville, FL

Q: What is Brandy Moore's NPI number?

The NPI number for Brandy Moore is 1790378099. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Q: What is Brandy Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Moore was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 17, 2021

3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 702-6111 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Brandy Moore Csa NPPES

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

BRANDY MOORE CSA (NPI 1790378099) is an individual surgical assistant in Jacksonville, Florida and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1790378099

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameBRANDY MOORECredential: CSA

Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207

Mailing Address3 Maryland Farms Ste 200Brentwood, TN 37027-5780 · (800) 348-4565 · Fax (888) 203-4247

Phone(904) 702-6111

Sole ProprietorNo

Enumeration DateFebruary 17, 2021

NPPES CertifiedFebruary 17, 2021

✔ NPI 1790378099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

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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.

LINDSAY MICHELLE PUTKOWSKI CRNA

Nurse Anesthetist, Certified Registered

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

KENNETH AUNG-DIN MD

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 399-6811

MRS. GLORIANNE BOYD RD,LD/N

Dietitian, Registered

3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216

Duval County (904) 399-6313

PETER LOUIS KOVACS MD

Anesthesiology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 421-2119

NAKISH DANIELLE GRANT M.D.

General Practice

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

SUMMIT EMERGENCY PHYSICIANS, LLC

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (469) 401-2386

KELLY MICHELLE DEWIT PHARMD

Pharmacist

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6160

DR. JUDY BOWERS M.D.

Obstetrics & Gynecology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6850

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 Brandy Moore's NPI number?

The NPI number for Brandy Moore is 1790378099. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Brandy Moore located?

Brandy Moore practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 702-6111.

What is Brandy Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Brandy Moore was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.