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

Mia Moore, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962105171

Mia Moore, MD is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

653 W 8th St Fl FC123
Jacksonville, FL 32209-6511
Phone: (904) 244-3943
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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 number1962105171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address653 W 8th St Fl Fc123, Jacksonville, FL 32209-6511

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