Individual
DANIELLE MARIE MOSER
Active
Individual
DANIELLE MARIE MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9105821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011923300
—
FL
01
—
EI889V
MEDICARE
FL
01
—
EI889W
MEDICARE
FL
01
—
P01574599
FL RR
FL
Enumeration date
12/09/2010
Last updated
03/10/2020
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