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Deactivated NPI 1881725539 Deactivated / Inactive NPI Male Practitioner

Dr. John Wilson Moore , MD

Surgery • Haines City, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date August 24, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, MD was a registered Surgery practicing in Haines City, FL. Throughout an active medical career spanning 10 years, Dr. Moore provided care at the practice location at 3224 LAKE BREEZE DR until profile deactivation on 2017-08-24.

Practice Location & Contact Primary Location

Practice Address

3224 Lake Breeze Dr

Haines City, FL 338449333

Telephone 8634224204

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Haines City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Haines City, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME 11774

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 24, 2017

Record deactivated on August 24, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3224 LAKE BREEZE DR, HAINES CITY, FL 338449333 (Tel: 8634224204)

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Updated Business Mailing Address July 08, 2007

Registered at 3224 LAKE BREEZE DR, HAINES CITY, FL 338449333 (Tel: 8634224204)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MOORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #ME 11774 in FL)

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881725539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Deactivation Date: August 24, 2017

Mailing Address

3224 Lake Breeze Dr

Haines City, FL 338449333

Phone: 8634224204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.