Individual
ALYSSA KAY MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
8877 RUBY COVE CT, JACKSONVILLE, FL 32216-4937
(248) 880-7102
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA617
FL
Other
Enumeration date
06/22/2020
Last updated
12/01/2025
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