NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRIAN B MOON, MD
3599 UNIVERSITY BLVD. S.
BLDG. 300
JACKSONVILLE, FL32216
 Phone: 904-399-5550
 Fax: 904-346-4334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for BRIAN B MOON · (Male)

NPI # 1003018342
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2007
Last updated 08/22/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME115592
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
  • BAPTIST MEDICAL CENTER BEACHES - (Acute Care)
    1350 13TH AVE S
    JACKSONVILLE BEACH, FL 32250
  • MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC - (Acute Care)
    1900 TEBEAU STREET
    WAYCROSS, GA 31501
  • MEMORIAL HOSPITAL JACKSONVILLE - (Acute Care)
    3625 UNIVERSITY BLVD S
    JACKSONVILLE, FL 32216
  • ORANGE PARK MEDICAL CENTER - (Acute Care)
    2001 KINGSLEY AVE
    ORANGE PARK, FL 32073
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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