Healthcare Provider Details

I. General information

NPI: 1508669607
Provider Name (Legal Business Name): ALLEO HEALTH OF FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/22/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 RIVERSIDE AVE STE 904
JACKSONVILLE FL
32202-4940
US

IV. Provider business mailing address

500 FAULCONER DR STE 200
CHARLOTTESVILLE VA
22903-5089
US

V. Phone/Fax

Practice location:
  • Phone: 434-977-9711
  • Fax: 434-235-4142
Mailing address:
  • Phone: 434-977-9711
  • Fax: 434-235-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSE R MOORE
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 857-331-6271