Individual
MRS. MALINDA M. MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1361 13TH AVE S STE 110&190, JACKSONVILLE BEACH, FL 32250-3233
(904) 247-5514
(904) 247-3363
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN2547972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002226500
—
FL
Enumeration date
06/17/2006
Last updated
02/27/2019
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