WILLIAM DONALD MOORE PAC NPI 1821146838

NPI Information

NPI: 1821146838
Provider Name: WILLIAM DONALD MOORE, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1717 N E ST
SUITE 331
PENSACOLA, FL
ZIP 32501
Phone: (850) 484-6500
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William Donald Moore, PAC is a medical physician assistant in Pensacola, FL. William Donald Moore, PAC NPI is 1821146838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1717 N E ST
SUITE 331
PENSACOLA, FL
ZIP 32501-339
Phone: (850) 484-6500
Fax: (850) 857-1747

The enumeration date for this NPI number is 1/8/2007 and was last updated on 1/5/2017.

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
1	363AM0700X	Physician Assistant	Medical	PA2134	FLORIDA	Yes

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
1	292645800	MEDICAID	FLORIDA
2	009941519	MEDICAID	ALABAMA
3	AA507Z	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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