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

Michaela Moran, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1871059196

Michaela Moran, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2750 John Prom Blvd
Jacksonville, FL 32246-3921
Phone: (774) 392-5429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence AL5424 (FL)

Record details

NPI number1871059196
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 11, 2019
Mailing address14 Fisher Rd, East Falmouth, MA 02536-7145

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