IndividualActive
Omar Moore, M.D.
NPI 1487072245 · Clinical Neurophysiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1487072245
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- EMC0001993 (MI)
Practice location
7807 Baymeadows Rd E Ste 303
Jacksonville, FL 32256-9667
Phone: (904) 204-6585
Fax: (850) 390-7195
Mailing address
7807 Baymeadows Rd E Ste 303
Jacksonville, FL 32256-9667
Registry dates
- Enumerated
- 2014-03-30
- Last updated
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.