Individual
DR. JOHN A MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6230 SCOTT ST, SUITE 111, PUNTA GORDA, FL 33950-3940
(941) 637-5780
(941) 637-5765
Mailing address
6230 SCOTT ST, SUITE 111, PUNTA GORDA, FL 33950-3940
(941) 637-5780
(941) 637-5765
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME84424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15376
BCBS
FL
01
—
2345224005
CIGNA
FL
05
—
264083000
—
FL
01
—
4355228
AETNA
FL
Enumeration date
08/29/2005
Last updated
02/25/2013
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