Organization
STEPHEN L. MOSS DPM PA
Active
Organization
STEPHEN L. MOSS DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L MOSS DPM (PRESIDENT)
(727) 347-8872
Entity
Organization
Contact information
Practice address
6450 38TH AVE N, SUITE 310, ST PETERSBURG, FL 33710-1645
(727) 347-8872
(727) 343-6670
Mailing address
6450 38TH AVE N, SUITE 310, ST PETERSBURG, FL 33710-1645
(727) 347-8872
(727) 343-6670
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH2915
RR MEDICARE
FL
Enumeration date
08/25/2006
Last updated
12/18/2007
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