Organization
ROGER L. MOEBUS, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER L. MOEBUS M.D. (PRESIDENT)
(305) 663-1128
Entity
Organization
Contact information
Practice address
7825 SW 53RD CT, MIAMI, FL 33143-5834
(305) 663-1128
Mailing address
7825 SW 53RD CT, MIAMI, FL 33143-5834
(305) 663-1128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME16263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78476B
MEDICARE P-TAN
—
Enumeration date
02/23/2012
Last updated
02/23/2012
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