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

Ronnie Lee Moore

Individual provider Nurse Practitioner · NPI 1134603020

Ronnie Lee Moore is a Nurse Practitioner in Lakeland, Florida. Qualified in 2015, 11 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone: (863) 687-1222
Fax: (863) 603-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9275253 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 9275253 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 9275253 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 9275253 (FL)

Record details

NPI number1134603020
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeland