Individual
ANGELA NICOLE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2771 EXECUTIVE PARK DR STE 1, WESTON, FL 33331-3643
(954) 251-0011
Mailing address
2885 S EDGEHILL LN, HOLLYWOOD, FL 33026-3745
(954) 789-0517
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
APRN11000604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/19/2021
Last updated
11/19/2021
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