# CLINICA MEDICA MOSCATI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinica Medica Moscati (CMM)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154130987
- **Authorized official:** MRS. MAYRA SHORT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (256) 715-1054

## Contact information

- **Practice address:** 204 LOWE AVE SE STE 7, HUNTSVILLE, AL 35801-4252
- **Practice address phone:** (256) 715-1054
- **Practice address fax:** (256) 715-1082
- **Mailing address:** 204 LOWE AVE SE STE 7, HUNTSVILLE, AL 35801-4252
- **Mailing address phone:** (256) 715-1054
- **Mailing address fax:** (256) 715-1082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025