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NPI Lookup from the NPI Registry — National Provider Identifier Database

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

THOMAS MOON graduated 2005 from UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO. 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
 Medical school:
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2005

 Phone: 904-633-4120
 Fax: 904-633-4111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty
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NPI Profile & details for THOMAS J MOON JR · (Male)

NPI Number 1982821799
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 08/14/2012 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
CO License # DR47006
FL License # ME113107
FL Medicaid 005915000
GA Medicaid 003125542A
FL Medicare PIN GH309Z
FL Other 14KY8 BCBS
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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