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JENNIFER MOORE PA
NPI 1790781052
Physician Assistant - Surgical in Temple Terrace, FL

Active since June 22, 2005
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 978-9700(813) 558-6187 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Moore Pa NPPES

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

JENNIFER MOORE PA (NPI 1790781052) is an individual surgical provider in Temple Terrace, Florida, licensed in Florida (PA3401) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1790781052
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER MOORECredential: PA
Location Address13020 N TELECOM PKWYTemple Terrace, FL 33637-0925
Mailing Address13020 N Telecom PkwyTemple Terrace, FL 33637-0925 · (813) 978-9700 · Fax (813) 558-6187
Phone(813) 978-9700
Fax(813) 558-6187
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 31, 2011
✔ NPI 1790781052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA3401
13020 N TELECOM PKWY, Temple Terrace, FL 33637
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Other Identifiers 4

Medicare PINE0409FL
Medicaid290371700FL
Other970004474FL · Railroad Medicare
Medicare UPINS51910FL

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.

GEORGINA R CRAGO PA
Physician Assistant (Surgical)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
DOUBER ALTIDOR PTA
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
LETICIA S WORSHAM PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
NICOLE R PLOGER PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
NATHAN BEVAN PA
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
JAVIER ALVARADO PT
Physical Therapist
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
SUSAN BAKER PTA
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700
BRIAN RICHARD LASKOWSKI
Physical Therapist (Orthopedic)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Hillsborough County (813) 978-9700

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's NPI number?

The NPI number for Jennifer Moore is 1790781052. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Jennifer Moore located?

Jennifer Moore practices at 13020 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 978-9700.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.