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

Javier Edwodo Moore

Individual provider Other Technician · NPI 1184445496

Javier Edwodo Moore is an Other Technician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486
Phone: (855) 832-6727
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)
Other Technician Taxonomy 247200000X (FL)

Record details

NPI number1184445496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2024
Last updated in NPPESOctober 19, 2024
Certification dateOctober 18, 2024
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

Other providers in Jacksonville