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Contact Information

JUSTIN R MOORE, MD
1350 HICKORY ST
MELBOURNE, FL32901-3224
 Phone: 321-434-4225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUSTIN R MOORE · (Male)

NPI Number 1235339870
Status Active
Credentials MD
Entity Individual
Enumeration date 07/23/2007
Last updated 06/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME155579
  • OH License # 35.127204
  • FL Medicaid 122863800
  • OH Medicaid 0094481
  • FL Other VI326 MEDICARE HF
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • ROCKINGHAM MEMORIAL HOSPITAL - (Acute Care)
    2010 HEALTH CAMPUS DRIVE
    HARRISONBURG, VA 22801
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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