Individual
DR. LAURA GRUEN MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4240 SUN N LAKE BLVD STE 202, SEBRING, FL 33872-1944
(863) 471-3926
(863) 385-3093
Mailing address
6633 FOREST AVE STE 300, NEW PORT RICHEY, FL 34653-2612
(727) 724-8611
(727) 724-0425
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036125967
IL
207RC0000X
Cardiovascular Disease Physician
2010012190
MO
207RI0011X
Interventional Cardiology Physician
036-125967
IL
207RI0011X
Interventional Cardiology Physician
2010012190
MO
207RI0011X
Interventional Cardiology Physician
Primary
ME125464
FL
Other
Enumeration date
11/16/2005
Last updated
10/23/2023
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