Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Allen Moore, PA

Individual provider Physician Assistant · NPI 1497901029

Anthony Allen Moore, PA is a Physician Assistant in Orlando, Florida. Qualified in 2008, 18 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4215 Edgewater Dr
Orlando, FL 32804-2206
Phone: (855) 582-7747
Fax: (888) 972-4761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-5595 — (321) 868-5871
  • 699 W Cocoa Beach Cswy Ste 505, Cocoa Beach, FL 32931-3562 — (321) 868-5871
  • 8725 N Wickham Rd Ste 302, Melbourne, FL 32940-2240 — (321) 868-5871
  • 8745 N Wickham Rd, Melbourne, FL 32940-5997 — (321) 868-5871

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9104697 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PAT9104697 (FL)

Record details

NPI number1497901029
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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