Individual
DR. GREGG F MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1800 FOREST HILL BLVD, SUITE A8-10, WEST PALM BEACH, FL 33406-6094
(561) 641-9211
(561) 641-2188
Mailing address
1800 FOREST HILL BLVD, SUITE A8-10, WEST PALM BEACH, FL 33406-6094
(561) 641-9211
(561) 641-2188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00005949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336403989
GROUP NPI
FL
01
—
1881616142
INDIVIDUAL NPI
FL
01
—
22321Z
MEDICARE INDIVIDUAL PTAN
FL
01
—
650760094
TAX ID NO.
FL
01
—
GF490A
MEDICARE GROUP PTAN
FL
Enumeration date
07/24/2006
Last updated
07/27/2012
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