# SEVILLE PODIATRY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659160281
- **Authorized official:** JONATHAN M. MOSS DPM (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (714) 404-5641

## Contact information

- **Practice address:** 6392 EQUESTRIAN TRL, MEDINA, OH 44256-7421
- **Practice address phone:** (330) 975-0004
- **Mailing address:** 6392 EQUESTRIAN TRL, MEDINA, OH 44256-7421
- **Mailing address phone:** (330) 975-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0119929 | — | OH |