Individual
JOSEPH SAMUEL MOAK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME141155
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME141155
FL
Other
Enumeration date
05/09/2013
Last updated
07/02/2019
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