Individual
GREGORY KEITH MOSOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14197 SPARTINA CT, JACKSONVILLE, FL 32224-3225
(904) 249-3858
(904) 592-5324
Mailing address
14197 SPARTINA CT, JACKSONVILLE, FL 32224-3225
(904) 249-3858
(904) 592-5324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME79101
FL
Other
Enumeration date
11/22/2005
Last updated
06/06/2019
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