Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay Paul Moulton, PA-C

Individual provider Emergency Medicine Physician · NPI 1215973201

Jay Paul Moulton, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2004, 22 years ago. Practices with Observation Medical Group LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone: (813) 870-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence PA9102960 (FL)

Record details

NPI number1215973201
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESAugust 3, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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