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

Taylor R Moore, PA

Individual provider Physician Assistant · NPI 1861274011

Taylor R Moore, PA is a Physician Assistant in Lake Mary, Florida. Works from 5 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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

410 Waymont Ct
Lake Mary, FL 32746-3485
Phone: (407) 323-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 201 N Park Ave Ste 106, Apopka, FL 32703-4147 — (407) 889-1900
  • 2505 Junior St, Orange City, FL 32763-8000 — (386) 960-8282
  • 2902 N Orange Ave Ste D, Orlando, FL 32804-4655 — (407) 898-4116
  • 716 Vassar St, Orlando, FL 32804-4921 — (407) 423-8443

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118013 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9118013 (FL)

Record details

NPI number1861274011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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