MOORE MEDICAL GROUP INC NPI 1578724183

NPI Information

  • NPI: 1578724183
  • Provider Name: MOORE MEDICAL GROUP INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4300 W LAKE MARY BLVD
    STE 1010-357
    LAKE MARY, FL
    ZIP 32746
  • Phone: (407) 732-7957

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NPI Details

MOORE MEDICAL GROUP INC is a family medicine in Lake Mary, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOORE MEDICAL GROUP INC NPI is 1578724183. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4300 W LAKE MARY BLVD
STE 1010-357
LAKE MARY, FL
ZIP 32746-060
Phone: (407) 732-7957
Fax: (407) 732-7925

The provider's authorized official is Eric Alan Moore .
The authorized official title is Physician and has the following contact phone number (407) 732-7957.

The enumeration date for this NPI number is 6/17/2008 and was last updated on 10/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME63176FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1006387600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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