Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659344968 Individual Practitioner Male Practitioner

Dr. John Clifton Moore , MD

Pediatrics • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Moore, MD is a registered healthcare professional specializing in Pediatrics in Lakeland, FL. Practice services are available at 1033 N PARKWAY FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1033 N Parkway Frontage Rd

Lakeland, FL 33803

Telephone 8636478011
Fax 8636478029
Associated Practice Facility / Clinic
🏢 Watson Clinic Llp Facility NPI 1124166574

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Lakeland, FL (4160 Statewide)

Telehealth Adoption Rate
2.1% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME27037

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
066805200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Justine Jones , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1023081122
NPI 1114990439

Doctor of Medicine (M.D.)

Dr. Michael Brown , MD

Internal Medicine

NPI 1134191315

Doctor of Medicine (M.D.)

Charde Holt , PA

Physician Assistant

NPI 1164075149

Physician Assistant

Donna Hartwiger , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1295709368
Dr. Grazyna Jakubicz , MD

Internal Medicine

NPI 1477525491

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2010

Registered at 1033 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803 (Tel: 8636478011)

📍
Updated Business Mailing Address February 16, 2010

Registered at PO BOX 95004, LAKELAND, FL 33804 (Tel: 8636807206)

👤
Provider Name / Credentials Updated February 16, 2010

Recorded as JOHN MOORE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2010

Pediatrics (License #ME27037 in FL)

🟢
Initial NPI Registration & Enumeration February 08, 2006

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: 1659344968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: February 16, 2010
Sole Proprietor: No

Mailing Address

Po Box 95004

Lakeland, FL 33804

Phone: 8636807206

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.