Individual
MR. STEPHEN JACOB MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
64 PINE KNOLL LN, SANTA ROSA BEACH, FL 32459-4588
(770) 757-2190
Mailing address
64 PINE KNOLL LN, SANTA ROSA BEACH, FL 32459-4588
(770) 757-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109639
FL
363AM0700X
Medical Physician Assistant
Primary
1264
SC
Other
Enumeration date
10/27/2009
Last updated
03/19/2026
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