NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

THOMAS J MOON, JR., MD – NPI #1982821799
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

THOMAS J MOON, JR., MD
841 PRUDENTIAL DR
SUITE 100
JACKSONVILLE, FL32207-8329
 Phone: 904-633-4120
 Fax: 904-633-4111
 Website:
 

Specialty

Taxonomy

Pediatric Cardiology

2080P0202X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty
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NPI Information

NPI Number 1982821799
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 08/14/2012
Sole proprietor Yes
Identifiers
CO License # DR47006
FL License # ME113107
FL Medicaid 005915000
GA Medicaid 003125542A
FL Medicare PIN GH309Z
FL Other 14KY8 BCBS

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