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Individual

DR. WAYNE STUART MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1329 SW 16TH ST, GAINESVILLE, FL 32608-1128
(352) 392-8013
Mailing address
1329 SW 16TH ST, GAINESVILLE, FL 32608-1128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15420
FL
2084P0800X
Psychiatry Physician
27613
NE

Other

Enumeration date
06/26/2010
Last updated
05/19/2014
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