Individual
EMMETT WAYNE MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 E COUNTY ROAD 540A, LAKELAND, FL 33813-3825
(863) 607-3333
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD., CREDENTIALING OFFICE, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01075699B
IN
207X00000X
Orthopaedic Surgery Physician
048374
GA
207X00000X
Orthopaedic Surgery Physician
26697
KY
207X00000X
Orthopaedic Surgery Physician
27540
TN
207X00000X
Orthopaedic Surgery Physician
32017
OK
207X00000X
Orthopaedic Surgery Physician
Primary
ME102864
FL
207XX0801X
Orthopaedic Trauma Physician
ME102864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001662400
—
FL
05
—
019539100
—
FL
01
—
LB406
FL HFMG MEDICARE
FL
01
—
LE632
FL HFMG MEDICARE
FL
Enumeration date
07/24/2007
Last updated
03/13/2020
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