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

Jacob John Moody

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235998790

Jacob John Moody is a Student in an Organized Health Care Education/Training Program in Tamarac, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

7201 N University Dr
Tamarac, FL 33321-2913
Phone: (954) 724-6540
Fax: (954) 597-4430
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235998790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 17, 2024
Mailing address7201 N University Dr, Tamarac, FL 33321-2913

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