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Individual

DR. DAVID A MOSBORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1895 KINGSLEY AVE, SUITE 703, ORANGE PARK, FL 32073
(904) 276-1446
(904) 276-1448
Mailing address
1895 KINGSLEY AVE, SUITE 703, ORANGE PARK, FL 32073
(904) 276-1446
(904) 276-1448

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0061356
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14755
BCBS OF FL
FL
01
2145892002
CIGNA
FL
01
219186
AVMED
FL
01
4275862
AETNA
FL
Enumeration date
04/22/2006
Last updated
09/11/2007
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