Thomas J Moon JR. M.D.

NPI 1982821799 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1982821799
Gender Male
Enumeration Date 04/20/2007
Last Updated 08/14/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
841 PRUDENTIAL DR
SUITE 100
JACKSONVILLE FL, 32207-8329, US
Phone (904) 633-4120
Fax (904) 633-4111
Business Location
841 PRUDENTIAL DR
SUITE 100
JACKSONVILLE FL, 32207-8329, US
Phone (904) 633-4120
Fax (904) 633-4111
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Thomas J Moon JR. M.D. NPI is 1982821799, taxonomy code is 390200000X Thomas J Moon JR. M.D. physically located at 841 Prudential Dr, Jacksonville FL, 32207-8329. NPI Number Thomas J Moon JR. M.D. has the Individual type.

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1982821799 NPI number is provided on an as is basis without warranty of any kind. 1982821799 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Moon JR. M.D. are for informational purposes only.