Individual
STEPHANIE R. MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1611 NW 12TH AVE, CENTRAL 766 (D39), MIAMI, FL 33136-1005
(305) 585-5535
(305) 585-8109
Mailing address
9915 NW 20TH ST, PEMBROKE PINES, FL 33024-1443
(954) 443-3055
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2159342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159342
ARNP LICENSE NUMBER
FL
Enumeration date
07/22/2006
Last updated
07/08/2007
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