Organization
GERARD C MOSIELLO MD PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD C MOSIELLO MD (OWNER)
(813) 890-8004
Entity
Organization
Contact information
Practice address
15243 AMBERLY DR, TAMPA, FL 33647-2155
(813) 631-1500
(813) 631-1600
Mailing address
15243 AMBERLY DR, TAMPA, FL 33647-2155
(813) 631-1500
(813) 631-1600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME79704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257027100
—
FL
Enumeration date
09/10/2010
Last updated
09/10/2010
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