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BRANDY MOORE CSA NPI 1790378099


NPI Information

NPI: 1790378099
Provider Name: BRANDY MOORE, CSA
Classification: Specialist/Technologist, Other - 246ZC0007X
Entity Type: Individual

Specialization: Surgical Assistant

Address:
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 702-6111
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Brandy Moore, CSA is a surgical assistant specialist technologist other in Jacksonville, FL. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. Brandy Moore, CSA NPI is 1790378099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216-207
Phone: (904) 702-6111

The enumeration date for this NPI number is 2/17/2021 and was last updated on 2/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZC0007XSpecialist/Technologist, OtherSurgical AssistantYes

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: 4/28/2024

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