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Organization

WEST COAST MUSCULOSKELETAL INSTITUTE PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL P MOYNIHAN MD (MANAGING MEMBER)
(347) 423-5270
Entity
Organization

Contact information

Practice address
14555 CORTEZ BLVD, BROOKSVILLE, FL 34613-6003
(352) 556-4823
(352) 556-4824
Mailing address
14555 CORTEZ BLVD, BROOKSVILLE, FL 34613-6003
(352) 556-4823
(352) 556-4824

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME101245
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME 101245
MEDICAL LICENSE
FL
Enumeration date
08/04/2008
Last updated
09/10/2025
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