Individual
DR. JOHN ANTHONY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6821 PALISADES PARK CT STE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT STE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS9710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274607700
—
FL
Enumeration date
07/14/2005
Last updated
11/05/2019
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