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1376518142 NPI number — RICHARD B MOORE MD PA

NPI Number: 1376518142
Health Care Provider/Practitioner: RICHARD B MOORE MD PA

Information about “1376518142” NPI (RICHARD B MOORE MD PA) exists in 1376518142 in HTML format HTML  |  1376518142 in plain Text format TXT  |  1376518142 in PDF (Portable Document Format) PDF  |  1376518142 in an XML format XML  formats.

NPI Number : 1376518142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376518142",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOORE",
    "FirstName": "RICHARD",
    "MiddleName": "B",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1020 VON PHISTER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEY WEST",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33040-4830",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-713-1256",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3450 11TH CT # 104A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VERO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32960-5012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-226-4830",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2006",
    "LastUpdateDate": "04/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "ME0048243",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "0101275204",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "ME0048243",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "0101275204",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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