Individual
GINA D MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1454 INDIAN TRL S, PALM HARBOR, FL 34683-2803
(727) 674-5205
Mailing address
1454 INDIAN TRL S, PALM HARBOR, FL 34683-2803
(727) 674-5205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5382
FL
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
ND5382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND5382
FLORIDA LICENSE NUMBER
FL
Enumeration date
03/23/2021
Last updated
03/23/2021
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