Individual
DR. BENJAMIN DOUGLAS MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(902) 202-2000
Mailing address
617 TIMBER POND DR, PONTE VEDRA BEACH, FL 32082-4354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME136851
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
04/24/2015
Last updated
12/13/2018
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