Individual
MRS. MARIANNE MOSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6652 GLEN MEADOW LOOP, LAKELAND, FL 33810-5881
(863) 255-7300
(863) 859-5350
Mailing address
6652 GLEN MEADOW LOOP, LAKELAND, FL 33810-5881
(863) 607-9611
(863) 859-5350
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
593286346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67-7735000
—
FL
Enumeration date
07/21/2008
Last updated
03/04/2025
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