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

Mr. James Moore, PA

Individual provider Surgical Physician Assistant · NPI 1053302059

Mr. James Moore, PA is a Surgical Physician Assistant in Melbourne Beach, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

310 Amberjack Pl
Melbourne Beach, FL 32951-2906
Phone: (321) 684-1193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9103288 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1053302059
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 510764, Melbourne Beach, FL 32951-0764

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