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

Matthew Macahan Moore

Individual provider Pediatrics Physician · NPI 1528647955

Matthew Macahan Moore is a Pediatric Medicine in Gainesville, Florida. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Florida and New York.

Years since qualifying
5
Licensed in
FL, NY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Woods Rd, Valhalla, NY 10595-1530 — (914) 493-7000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS22316 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 332962-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528647955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2021
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing addressPo Box 100296, Gainesville, FL 32610-0296

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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