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

Dr. Justin Randolph Moy, MD

Individual provider Otolaryngology Physician · NPI 1255406898

Dr. Justin Randolph Moy, MD is an Otolaryngology in Jacksonville, Florida. Graduated from University of Cincinnati College of Medicine in 2004, 22 years ago. Practices with North Florida Surgeons PA, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Indiana and North Dakota.

Years since qualifying
22
Trained at
University of Cincinnati College of Medicine
Licensed in
FL, IN, ND
In the registry since
2006
Specialties on file
3
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

14546 Old Saint Augustine Rd Ste 301
Jacksonville, FL 32258-5472
Phone: (904) 202-6410
Fax: (904) 390-7382
Show map & directions

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

Additional practice locations (1)

  • 14550 Old Saint Augustine Rd, Jacksonville, FL 32258-2460 — (904) 268-5336

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME128553 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 13287 (ND)
General Practice Physician Taxonomy 208D00000X · Licence 01061468A (IN)

Record details

NPI number1255406898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESOctober 13, 2017

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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