Individual
ELIZABETH MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11080 LOTHMORE RD, JACKSONVILLE, FL 32221-3873
(817) 727-3226
Mailing address
11080 LOTHMORE RD, JACKSONVILLE, FL 32221-3873
(817) 727-3226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19809
FL
235Z00000X
Speech-Language Pathologist
33220
CA
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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