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

Jeffrey Randolph Moore

Individual provider Marriage & Family Therapist · NPI 1376408906

Jeffrey Randolph Moore is a Marriage & Family Therapist in Minneola, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 65
Minneola, FL 34755-0065
Phone: (678) 230-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMT3144 (FL)

Record details

NPI number1376408906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing addressPo Box 65, Minneola, FL 34755-0065