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Individual

DR. PETER MOUSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSC

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME167006
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122226900
FL
Enumeration date
06/26/2018
Last updated
08/26/2025
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