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

Benjamin E Moore, MD

Individual provider Specialist · NPI 1558342196

Benjamin E Moore, MD is a Specialist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Shircliff Way Ste 925
Jacksonville, FL 32204-4753
Phone: (904) 387-6116
Fax: (904) 387-6118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME39355 (FL)

Record details

NPI number1558342196
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 10, 2005
Last updated in NPPESJanuary 9, 2012
Mailing addressPo Box 17809, Jacksonville, FL 32245-7809

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