Individual
DR. DANIELLE MOOSHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1890 LPGA BLVD STE 230, DAYTONA BEACH, FL 32117-7131
(386) 274-3336
Mailing address
1890 LPGA BLVD STE 230, DAYTONA BEACH, FL 32117-7131
(386) 274-3336
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO61045806
WA
213EP1101X
Primary Podiatric Medicine Podiatrist
PO230
HI
213ES0000X
Sports Medicine Podiatrist
PO230
HI
213ES0103X
Foot & Ankle Surgery Podiatrist
PO230
HI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4416
FL
Other
Enumeration date
05/20/2016
Last updated
10/26/2022
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