Healthcare Provider Details

I. General information

NPI: 1982109310
Provider Name (Legal Business Name): NABEEL UMER MOON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7448 DOCS GROVE CIR STE 200
ORLANDO FL
32819-8003
US

IV. Provider business mailing address

7448 DOCS GROVE CIR STE 200
ORLANDO FL
32819-8003
US

V. Phone/Fax

Practice location:
  • Phone: 407-352-1303
  • Fax: 866-859-5089
Mailing address:
  • Phone: 407-352-1303
  • Fax: 866-598-5089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME173665
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: