| Doctor Name: | DR. BRIAN BISHOP MOON |
| NPI Number: | 1003018342 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME115592 |
| Business Practice Address: | 3599 University Blvd. S. Bldg. 300 Jacksonville, FL - 32216 |
| Business Phone Number: | 9043995550 |
| Business Fax Number: | 9043464334 |
| Mailing Address: | 3599 University Blvd. S., Bldg. 300 JACKSONVILLE |
| State: | FL |
| Postal Code: | 32216 |
| Phone Number: | 8048289783 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | ME115592 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |