Individual
ALEXANDRA MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 ENTERPRISE RD, ORANGE CITY, FL 32763-8273
(386) 775-7448
Mailing address
2621 ENTERPRISE RD, ORANGE CITY, FL 32763-8273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W242454376
AETNA
—
Enumeration date
04/27/2026
Last updated
04/27/2026
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