Organization
MOSS RESTORATIVE FOOT & ANKLE CENTER, PLLC
Active
Other names
Moss Podiatry, Douglas Brian Moss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BRIAN MOSS DPM (PHYSICIAN OWNER)
(727) 641-2999
Entity
Organization
Contact information
Practice address
7855 38TH AVE N STE 200, ST PETERSBURG, FL 33710-1134
(727) 302-9500
(949) 404-8237
Mailing address
PO BOX 40002, ST PETERSBURG, FL 33743-0002
(727) 302-9500
(949) 404-8237
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039020500
—
FL
01
—
11429703
CAQH
FL
01
—
213E00000X
TAXONOMY CODE
FL
01
—
213ES0103X
TAXONOMY CODE
FL
05
—
340659800
—
FL
01
—
65963
BLUE CROSS BLUE SHIELD
FL
01
—
T89762
UPIN
—
Enumeration date
05/24/2019
Last updated
05/06/2026
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