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Individual
DR. GREGG F MOSES
Active
Individual
DR. GREGG F MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00005949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336403989
GROUP NPI
FL
01
—
1881616142
INDIVIDUAL NPI
FL
01
—
22321Z
MEDICARE INDIVIDUAL PTAN
FL
01
—
650760094
TAX ID NO.
FL
01
—
GF490A
MEDICARE GROUP PTAN
FL
Enumeration date
07/24/2006
Last updated
07/27/2012
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