Most Relevant Information
Provider Data
| NPI Number: | 1003018342 |
| Provider Name: | BRIAN BISHOP MOON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0204X |
| Specialty: | Radiology |
| License Number: | ME115592 |
Most Important Dates
| Enumeration Date: | 05/31/2007 |
| Last Updated: | 08/22/2017 |
Provider Practice Location
3599 UNIVERSITY BLVD. S.
BLDG. 300
JACKSONVILLE
FL
32216
Practice Location Phone/Fax
| Phone: | 9043995550 |
| Fax: | 9043464334 |
Provider Mailing Location
3599 UNIVERSITY BLVD. S.
BLDG. 300
JACKSONVILLE
FL
32216
Provider Mailing Phone/Fax
| Phone: | 8048289783 |
| Fax: |