Healthcare Provider Details

I. General information

NPI: 1376408906
Provider Name (Legal Business Name): JEFFREY RANDOLPH MOORE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 65
MINNEOLA FL
34755-0065
US

IV. Provider business mailing address

PO BOX 65
MINNEOLA FL
34755-0065
US

V. Phone/Fax

Practice location:
  • Phone: 678-230-7170
  • Fax:
Mailing address:
  • Phone: 678-230-7170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT3144
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: