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

Brandy Moore, CSA

Individual provider Surgical Assistant · NPI 1790378099

Brandy Moore, CSA is a Surgical Assistant in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1790378099
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorNo
NPI enumeratedFebruary 17, 2021
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021
Mailing address3 Maryland Farms Ste 200, Brentwood, TN 37027-5780

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