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Organization

RONALD B. MOUSSETTE DC, PA

Active
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Organization

RONALD B. MOUSSETTE DC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD B. MOUSSETTE DC (CHIROPRACTOR)
(352) 750-5310
Entity
Organization

Contact information

Practice address
712 S US HIGHWAY 441, LADY LAKE, FL 32159-4540
(352) 750-5310
(352) 259-0734
Mailing address
712 S US HIGHWAY 441, LADY LAKE, FL 32159-4540
(352) 750-5310
(352) 259-0734

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88756
BC/BS
FL
Enumeration date
08/03/2010
Last updated
08/03/2010
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