Provider Demographics
NPI:1982109310
Name:MOON, NABEEL UMER
Entity type:Individual
Prefix:
First Name:NABEEL
Middle Name:UMER
Last Name:MOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7448 DOCS GROVE CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8003
Mailing Address - Country:US
Mailing Address - Phone:407-352-1303
Mailing Address - Fax:866-598-5089
Practice Address - Street 1:7448 DOCS GROVE CIR STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8003
Practice Address - Country:US
Practice Address - Phone:407-352-1303
Practice Address - Fax:866-859-5089
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME173665207RG0100X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program