IndividualActive
Michaela Moran, ATC
NPI 1871059196 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Jacksonville, FL
Provider details
- NPI number
- 1871059196
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AL5424 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2750 John Prom Blvd
Jacksonville, FL 32246-3921
Phone: (774) 392-5429
Approximate (ZIP-level) locationGet directions
Mailing address
14 Fisher Rd
East Falmouth, MA 02536-7145
Registry dates
- Enumerated
- 2019-02-11
- Last updated
- 2019-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.