Individual
DR. BLAKE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12086 FORT CAROLINE RD, SUITE 302, JACKSONVILLE, FL 32225-2687
(904) 564-2500
(904) 564-2566
Mailing address
12086 FORT CAROLINE RD, SUITE 302, JACKSONVILLE, FL 32225-2687
(904) 564-2500
(904) 564-2566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9926
FL
Other
Enumeration date
04/12/2010
Last updated
02/15/2011
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