IndividualActive
Ronald Moore, MD
NPI 1669542148 · Surgery Physician · Fort Lauderdale, FL
Provider details
- NPI number
- 1669542148
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME87976 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2307 W Broward Blvd Ste 101
Fort Lauderdale, FL 33312-1420
Phone: (954) 797-4220
Fax: (754) 206-3688
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11705
Fort Lauderdale, FL 33339-1705
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.