Individual
DOLORES NAVA-MOSQUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6201 12TH ST N, ST PETERSBURG, FL 33702-7301
(727) 527-9590
(727) 527-9792
Mailing address
6201 12TH ST N, ST PETERSBURG, FL 33702-7301
(727) 527-9590
(727) 527-9792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME27590
FL
207R00000X
Internal Medicine Physician
ME0027590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01116822
AMERIGROUP
FL
01
—
038186100
PCP MEDIPASS
FL
05
—
038186100
—
FL
Enumeration date
01/05/2007
Last updated
10/19/2011
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