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Organization
RTC
Active
Organization
RTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MOSCOSO M.D. (PRESDIDENT/PHYSICIAN)
(941) 447-9358
Entity
Organization
Contact information
Practice address
5342 CLARK RD, STE 166, SARASOTA, FL 34233-3227
(941) 447-9358
Mailing address
5342 CLARK RD, STE 166, SARASOTA, FL 34233-3227
(941) 447-9358
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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