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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER MOORE, PA

Active

JENNIFER MOORE, PA is a Surgical Physician Assistant healthcare provider located in TEMPLE TERRACE, Florida. NPI 1790781052 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · TEMPLE TERRACE, FL

Registration Details

NPI Number
1790781052
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2005 (21.14893489341 yrs)
Last Updated
Mar 31, 2011
License
PA3401 (FL)

Practice Information

Address
13020 N TELECOM PKWY
TEMPLE TERRACE, FL, 336370925
Browse FL providers · Browse ZIP 33637
Phone
8139789700
Fax
8135586187
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in TEMPLE TERRACE, FL

Name Credential NPI
GEORGINA R CRAGO PA 1003811944
JEFFREY A HAMELIN PA 1841295805
SUSAN R HEINRICHS PA 1922003839
AFSHIN NOORI PA-C 1336146133
LEANNE S HENDERSON PA 1881668754
AUSTIN L THOMPSON PA 1467427849
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.