| Florida Seizure Doc Pllc | |
|
3003 Claire Ln Ste 100 Jacksonville FL 32223-6667 | |
| (904) 226-7229 | |
| Not Available |
| Full Name | Florida Seizure Doc Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3003 Claire Ln Ste 100, Jacksonville, Florida |
| Authorized Official Name and Position | Omar Jishi Moore (MD/OWNER) |
| Authorized Official Contact | 8508558764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Seizure Doc Pllc 3003 Claire Ln Ste 100 Jacksonville FL 32223-6667 Ph: (904) 204-6585 | Florida Seizure Doc Pllc 3003 Claire Ln Ste 100 Jacksonville FL 32223-6667 Ph: (904) 226-7229 |
| NPI Number | 1184215006 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 03/12/2025 |
| Medicare PECOS PAC ID | 5395150437 |
|---|---|
| Medicare Enrollment ID | O20210223000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184215006 | NPI | - | NPPES |
| Provider Name | Sharon L Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215232533 PECOS PAC ID: 5294918827 Enrollment ID: I20110321000025 |
| Provider Name | Sana Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164866521 PECOS PAC ID: 0042515033 Enrollment ID: I20160908001362 |
| Provider Name | Omar Jishi Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487072245 PECOS PAC ID: 2769780188 Enrollment ID: I20190530000362 |
| Provider Name | Steven Trisker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514534 PECOS PAC ID: 0941552913 Enrollment ID: I20200930000203 |
| Provider Name | Michelle K Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760078935 PECOS PAC ID: 1153735691 Enrollment ID: I20210125002837 |
| Provider Name | Nelly Choudja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508516113 PECOS PAC ID: 7113395385 Enrollment ID: I20221118000927 |
| Provider Name | Mateusz Lapucha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992191266 PECOS PAC ID: 1355634361 Enrollment ID: I20230504000993 |
| Provider Name | Angel L Valladares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497267686 PECOS PAC ID: 5597919472 Enrollment ID: I20230703002076 |
| Provider Name | Molly Ann Poucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154006948 PECOS PAC ID: 0648639807 Enrollment ID: I20230706000703 |
| Provider Name | Oritza Haedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962185017 PECOS PAC ID: 8527422955 Enrollment ID: I20230918002964 |
| Provider Name | Patricia Siatta Tulay-robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780927772 PECOS PAC ID: 2062864663 Enrollment ID: I20240119000430 |
| Provider Name | Jason Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932943313 PECOS PAC ID: 6507303310 Enrollment ID: I20240730000121 |
| Provider Name | Patricia Conkling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356332365 PECOS PAC ID: 7315933033 Enrollment ID: I20241121004558 |
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