Individual
PHILIP MOSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
11132 132ND AVE, LARGO, FL 33778-1930
(727) 455-0247
Mailing address
11132 132ND AVE, LARGO, FL 33778-1930
(727) 455-0247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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