MIA MOORE MD
NPI 1962105171
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 24, 2023
653 W 8TH ST FL FC123, JACKSONVILLE, FL 32209(904) 244-3943 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 30, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Mia Moore Md NPPES

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

MIA MOORE MD (NPI 1962105171) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1962105171
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIA MOORECredential: MD
Location Address653 W 8TH ST FL FC123Jacksonville, FL 32209-6511
Mailing Address653 W 8th St Fl Fc123Jacksonville, FL 32209-6511 · (904) 244-3943
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1962105171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653 W 8TH ST FL FC123, Jacksonville, FL 32209

Other Names 1

Other Name (5)Colton Moore Md

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
653 W 8TH ST FL FC123
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
653 W 8TH ST FL FC123
JACKSONVILLE, FL 32209

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 Mia Moore's NPI number?

The NPI number for Mia Moore is 1962105171. It was assigned to this individual provider in the NPPES registry on March 24, 2023. The provider is also known as Colton Moore MD.

Where is Mia Moore located?

Mia Moore practices at 653 W 8th St Fl Fc123, Jacksonville, FL 32209. The listed phone number is (904) 244-3943.

What is Mia Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mia Moore was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.